Biological soil detector and method of using same

ABSTRACT

A biological soil detector is provided, comprising: a solid support member; a specific indicator immobilized on the solid support member; and a retaining member holding the solid support thereon, the retaining member and solid support configured to facilitate contact between the solid support a surface. A method for the use of the foregoing detector is also provided, the method comprising: contacting the foregoing biological soil detector with a surface wherein the contacting initiates the modification of the specific indicator in the presence of bio soil; withdrawing the biological soil detector from the surface; and inspecting the solid support member of the detector for a detectable response to thereby determine whether the specific indicator immobilized on the solid support has interacted with biological soil. In still another aspect, the invention provides biological soil detector and a method for using the detector wherein the detector comprises: a solid support member treated with at least one amine or quaternary functional coating; and a specific indicator immobilized on the coating.

The present invention relates to a biological soil detector and a method for using a biological soil detector.

BACKGROUND OF THE INVENTION

The general ability to detect biological soil on any of a variety of surfaces is desired. In food preparation, either in the commercial or home setting, the detection of biological soil on food preparation surfaces and the like is valuable to prevent cross-contamination of food items being prepared on the surface. Examples of contaminating materials may include bacteria, food products that contain bacteria (e.g. raw meat and its juices), or certain biological fluids. To prevent cross-contamination, it may be desirable to determine the level of soil on certain surfaces suspected of being in contact with biological soil such as kitchen and bathroom surfaces (e.g. counters, cutting boards, toilets), room surfaces (e.g. floors, walls) and the like. An assessment of cleanliness is important for the surfaces of medical devices exposed to biological fluids during use. Examples of medical devices include the surfaces of endoscopes, catheters, and other devices.

While kits are commercially available to test the cleanliness of certain surfaces, available kits typically require samples to be sent to an outside laboratory for analysis. The time involved in sending samples to an outside laboratory for analysis must be factored into the time required for the requester to receive a response. Additionally, culture methods are typically employed in the analysis for pathogens, thus requiring microbiology laboratory equipment and the expertise of trained microbiologists.

In health care fields, medical devices such as endoscopes find utility in medical procedures that expose the devices to biological soil. Endoscopes, for example, are used in medical procedures within a patient's body in which the endoscope is inserted into the body either through a natural orifice or through a surgical opening. Endoscopes include a number of channels that may carry optical fibers for viewing areas in the body to facilitate the examination of organs, joints or body cavities and for conveying light to the area being viewed. Operating instruments such as electrosurgery probes or forceps may be passed through the channels of an endoscope, and the channels may also be used to deliver fluids or gas, or to provide suction or pass sampling catheters therethrough.

Virtually any part of the human body is accessible to an endoscope, and typical surgical sites include the ear, throat, urinary tract, lungs, intestines and the abdominal cavity. Endoscopes used in colonoscopy procedures permit the direct examination of the inside of the colon and large intestines for the presence of polyps, ulcers and inflammation. Foreign bodies such as polyps or tumors may be surgically removed through the endoscope.

As may be apparent, endoscopes are exposed to any of a variety of body soil during their use in surgical procedures. Such soils include blood, fecal matter, cellular matter from various tissue, and the like, and any of these soils may provide sources of viruses or bacteria. Because of their use within the body, each endoscope must be thoroughly cleaned and disinfected following each use to ensure that all of the soil-containing surfaces are disinfected prior to using the medical device in subsequent medical or surgical procedures. In one recommended cleaning process employed on reusable endoscopes, the soiled endoscope is initially cleaned during a manual cleaning step to remove as much soil as possible from all of the soiled surfaces of the instrument. Thereafter, a high level disinfection step is performed on the manually cleaned endoscope to render it ready for reuse. Typically, the manual cleaning step is performed by scrubbing the instrument with a cleaning brush or similar instrument. The manual cleaning step is performed until the brush no longer appears to pick up soil from the surfaces of the instrument. In the absence of an effective manual cleaning process, bacterial contamination may not be reduced to sufficiently low levels, thus increasing the possibility that the subsequent high level disinfection process may not be effective.

Currently, there is no standard test methodology that provides a rapid determination of the efficacy of the manual cleaning step.

The ability to evaluate the efficacy of a cleaning or disinfecting process for any of a variety of surfaces is desirable. It is desirable to provide a method that avoids extended incubation periods and facilitates the rapid identification of the presence of certain biological soil. It is also desirable to provide an article or device that can be used in the performance of the foregoing method.

SUMMARY OF THE INVENTION

In one aspect, the present invention provides a biological soil detector, comprising:

-   -   A solid support member;     -   A specific indicator immobilized on the solid support member;         and     -   A retaining member holding the solid support thereon, the         retaining member and solid support configured to facilitate         contact between the solid support a surface.

In another aspect, the invention provides a method for detecting biological soil associated with a surface, the method comprising:

-   -   Contacting the foregoing biological soil detector with a surface         wherein the contacting initiates the modification of the         specific indicator in the presence of bio soil;     -   Withdrawing the biological soil detector from the surface;     -   Inspecting the solid support member of the detector for a         detectable response to thereby determine whether the specific         indicator immobilized on the solid support has interacted with         biological soil.

In still another aspect, the invention provides 38 a biological soil detector, comprising:

-   -   A solid support member treated with at least one amine or         quaternary functional coating; and     -   A specific indicator immobilized on the coating.

In still another aspect, the invention provides a method for detecting biological soil associated with a surface, the method comprising:

-   -   Contacting the foregoing biological soil detector with a surface         wherein the contacting initiates the modification of the         specific indicator in the presence of bio soil;     -   Withdrawing the biological soil detector from the surface;     -   Inspecting the solid support member of the detector for a         detectable response to thereby determine whether the specific         indicator immobilized on the solid support has interacted with         biological soil.

As used herein, the terms used in the description of the various embodiments of the invention will be understood to have their ordinary and accustomed meaning unless stated otherwise. For convenience, specific definitions are provided for certain terms, such as the following:

“Biological soil” or “bio soil” refer to, by way of example, body fluids (e.g., saliva, blood, digestive fluids) fecal matter, cellular materials and tissue, microbial matter, bacteria, viruses, pathogens and other biological or biochemical materials including enzymes as well as partially or wholly digested foods. Sources of biological soil may vary but may include blood, human bodies, animal bodies, plant matter and various food products such as meats, poultry, dairy products which may, for example, be contaminated or which are at least partially digested and/or decomposed.

As used herein, “patient soil” refers to biological soil that remains on a medical device following the removal of the device from a human body.

A “specific indicator” refers to one or more chemical compounds that will interact with an enzyme or protein, such as those enzymes found in biological soil, to thereby provide a detectable response such as visible color changes or detectable changes in the fluorescent or luminescent properties of the specific indicator.

“Immobilized” refers to the retention of a chemical compound on a solid substrate in a manner that will resist removal of the compound from the substrate when the substrate is exposed to water.

Additional details of the preferred embodiments are provided in the remainder of the disclosure including the Detailed Description Of The Preferred Embodiment and the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

In the description of the preferred embodiment, reference is made to the various Figures wherein reference numerals are used to identify features of the depicted embodiments with like reference numerals indicating like structures and wherein:

FIG. 1 a is a side elevation, in cross section, of a portion of one embodiment of a solid support member according to the invention;

FIG. 1 b is a side elevation, in cross section, of a portion of another embodiment of a solid support member according to the invention;

FIG. 1 c is a side elevation, in cross section, of a portion of another embodiment of a solid support member according to the invention;

FIG. 2 is a perspective view representing an embodiment of a detector according to the invention;

FIGS. 3-6 are perspective views of different embodiments of a feature of the embodiment depicted in FIG. 2;

FIG. 7 is a perspective view of an embodiment of a detector according to the invention;

FIG. 8 is a perspective view of another embodiment of a detector according to the invention;

FIG. 9 is a perspective view of another embodiment of a detector according to the invention;

FIGS. 10-12 are views illustrating various embodiments of a retaining member and a solid support member for a detector according to the invention;

FIG. 13 a is a side elevation, showing another embodiment of a feature of the invention;

FIG. 13 b is a side elevation, in partial cross section, illustrating a method of using the device of FIG. 13 a, according to the invention;

FIG. 14 shows another embodiment of a retaining member and a solid support member for a detector according to the invention;

FIG. 15 shows another embodiment of a retaining member and a solid support member for a detector according to the invention;

FIGS. 16-18 are various views of a feature of another embodiment of a detector according to the invention; and

FIGS. 19-21 are various views of a feature of another embodiment of a detector according to the invention.

FIGS. 22 a-22 c are various views of patterns that may be employed in embodiments of the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

The present invention provides a detector and a method for the detection of biological soil. The detector of the invention utilizes one or more specific indicators immobilized on a solid support member wherein the specific indicators provide a detectable response when contacted with biological soil. The present invention generally relates to the detection of markers or analytes (e.g., detectable biochemical substances) that are indicative of the presence of biological soil. Detectable markers include components found in biological soil including any of a variety of proteins or enzymes found in or originating from a component of biological soil. The detector and method of the invention are suitable for use to determine the effectiveness of a cleaning step performed on a medical device. Additional uses for the device of the invention are also contemplated, such as the detection of bio soil on other surfaces including those used for food preparation or processing, for example.

In one aspect, the invention provides a means for associating the bio soil on a surface, such as a surface on a medical device, with a specific indicator immobilized on a solid support member. The specific indicator may be chosen for its sensitivity to components of the bio soil so that bio soil from a surface will react with the specific indicator to generate a detectable, relatively rapid, response. Detectable responses may be provided in the form of a color change on the surface of the solid support member or by a change in the fluorescent properties of the specific indicator. In various embodiments, the device of the invention includes the aforementioned solid support member which may be used to directly contact the surface being tested or may be indirectly used to test for the presence of bio soil by, for example, contacting the solid support member with a liquid that has been used to rinse the surface being tested. Typically, the latter embodiment will provide for the capture of the liquid within a receptacle that also holds the specific indicator immobilized on a solid support member so that the capture of the liquid will expose the solid support member and the immobilized specific indicator to the bio soil rinsed from the surface.

In some embodiments, the invention provides a means to determine the presence of biological soil on a medical device. One such application for the invention is the detection of biological soil following the manual cleaning step for an endoscope, for example. An endoscope permits direct viewing of areas within the body by insertion of the device through a natural orifice or through a small incision in the skin. Some endoscopes are rigid structures employing a series of lenses, while others are flexible and employ optical fibers to illuminate the area of concern within the body and to convey an image back to the eyepiece for the surgeon to see. Surgical operating instruments may be passed into the body through the channels of the endoscope in order to perform surgical procedures such as electrosurgery or the manipulation, grasping or crushing of structures within the surgical area. Endoscope channels may also deliver fluids or gases into the surgical site, provide suction or facilitating the positioning of catheters or laser light pipes. In the case of flexible endoscopes, an operating handle allows the surgeon to manipulate the tip of the endoscope to the desired location within the surgical site.

Following a use of an endoscope in a medical procedure, a manual cleaning process is employed to remove visible bio soil from the outer surface of the endoscope as well as from the inner surfaces or lumen of each exposed channel. After the manual cleaning step, the instrument may be disinfected using an appropriate high level disinfectant. The invention provides a means for detecting the presence of residual biological soil on an endoscope or other medical device to determine whether a cleaning step was successful or whether detectable soil is still present on the device so that the cleaning step must be repeated. If no soil is detected, the endoscope or other medical device is considered to be ready for high level disinfection.

Although the embodiments of the invention are typically described in connection with their use in the detection of bio soil on endoscopes, it will be appreciated that the invention is not to be limited to endoscopy applications. The invention may also be used to test other medical devices as well as surfaces used for the preparation, examination and/or treatment of patients in the healthcare industry. Additionally, the invention can be used in any of a variety of industries outside of the healthcare industry such as the food and beverage industry where there may be a concern that a surface might become soiled due to inadequate cleaning or the like. Moreover, the invention is useful in the testing of surfaces in homes and offices including bathroom surfaces, kitchen surfaces and the like. In its various aspects, the invention is suitable for rapidly testing any surface for the presence of a detectable amount of bio soil.

In at least one aspect, the invention provides a detector that includes a specific indicator with a means for contacting the specific indicator with a component of biological soil to produce a detectable response. As is further described herein, the detector can be provided in any of a variety of embodiments wherein the specific indicator may be selected to suitably detect biological soil and wherein the means for contacting the specific indicator with a component of biological soil can also be provided in any of a variety of forms. Embodiments of the invention and the various components thereof are further illustrated and discussed below.

In the various embodiments of the invention, a solid support member is provided along with a specific indicator immobilized on the solid support member. Referring to the various Figures, FIG. 1 a illustrates an embodiment of a solid support member 10 having a first surface 12 and a second surface 14. In the depicted embodiment, the support 10 is a porous material comprising open areas or pores 22, and solid portions 24 extending between the pores 22. An optional backing 16 is affixed to the second surface 14 of the support 10. An optional scrim 18 extends through the support 10 to provide additional strength for the support 10 so that it can withstand significant stretching or pulling when, for example, the support is pushed through a channel in a medical device such as an endoscope. The scrim 18 may comprise any of a variety of reinforcing materials including woven, nonwoven or knitted materials.

A specific indicator chemistry is immobilized on the solid support member 10 in at least one area of the support. In the embodiment shown in FIG. 1 a, the specific indicator chemistry is identified as the layer 20 associated, in part, with the first surface 12. While the specific indicator layer 20 is mainly associated with the first surface 12, the indicator may extend through the body of the support 10 (as indicated by the shaded portions of the support 10). It is contemplated that the indicator may be associated with the solid support member along a layer on a surface of the solid support member (e.g., layer 20), or the indicator may be associated in part with a surface of the solid support member, or the indicator may be mainly or completely disposed within the body of the solid support member 10. As used herein, “immobilized on,” when referring to the placement of the specific indicator relative to the solid support member, will be understood to encompass all possible placements of the specific indicator relative to the solid support member and is not intended to be limited to the placement of the specific indicator at or on a surface of the solid support member. Additionally, more than one area of the solid support member may be associated with a specific indicator and the use of multiple (e.g., two or more chemically different) specific indicators on the same solid support member is contemplated within the scope of the invention.

Referring to FIG. 1 b, another solid support member 110 is illustrated in the form of a nonwoven material or fabric comprising an assembly of fibers 122 which may be oriented in a single direction or in a random manner. The nonwoven solid support member 110 may be held together in any manner known to those of skill in the art, including (1) by mechanical interlocking of the fibers 122; (2) by the fusing of thermoplastic or binding fibers, or (3) by the adhesive bonding of the fibers with an appropriate binder such as a rubber, starch, glue, casein, latex, or a cellulose derivative or synthetic resin.

As in the embodiment of FIG. 1 a, the solid support member 110 of FIG. 1 b includes a first surface 112 and a second surface 114. An optional backing 116 is affixed to the second surface 114 of the support 110. An optional scrim 118 extends through the support 110 to provide reinforcement so that the support 110 is able to withstand the stretching or pulling expected during use such as when, for example, the support 110 is pushed through a channel in a medical device such as an endoscope. Specific indicator chemistry is immobilized on the solid support member 110 in at least one area of the support. In the embodiment shown in FIG. 1 b, the specific indicator chemistry is identified as the layer 120 associated, in part, with the first surface 112 but extending through the body of the support 110 (as indicated by the shaded portions of the support 110). In other aspects, the embodiments of FIGS. 1 a and 1 b are substantially the same.

Referring to FIG. 1 c, another solid support member 210 is shown, having a first surface 212 and a second surface 214. Optional backing 216 is affixed to the second surface 214 of the support 210, and optional scrim 218 extends through the support 210 to reinforce the support 210. Specific indicator chemistry is immobilized on the solid support member 210 in at least one area of the support. In the embodiment shown in FIG. 1 c, the specific indicator chemistry is identified as the layer 220 associated, in part, with the first surface 212 but extending through the body of the support 210 (as indicated by the shaded portions of the support 210). The solid support member 210 may comprise any of a variety of materials capable of having a specific indicator layer 220 immobilized on the solid support member. Such materials are described elsewhere herein. In all remaining aspects, the embodiments of FIGS. 1 a, 1 b and 1 c are substantially the same.

The solid support member in the foregoing embodiments of FIGS. 1 a through 1 c may be used, for example, as a single-use or disposable wipe for the detection of bio soil on various surfaces such as surfaces that have been in contact with food (e.g., food preparation surfaces, food or meat processing areas and the like), bathroom and kitchen sinks, counters, cutting boards, toilet surfaces, floors, walls, and any other surface where biological soil may be present. Such a wipe may be used dry (e.g., on a wet surface), or it may be wetted with water or an aqueous solution. In some embodiments, a cleaning or disinfecting solution may be incorporated into the wipe so that the cleaning or disinfecting of a surface may be performed at the same time the surface is being tested for bio soil. Accordingly, the invention provides a wipe that is useful in the evaluation of the cleanliness of a surface so that additional cleaning or disinfecting may be performed on the surface if the specific indicator interacts with a component of patient soil to provide an observable color change on the surface of the wipe or a change in the fluorescence of the surface of the wipe.

As noted, the solid support member is a substrate for the immobilization of a specific indicator. Suitable materials for the solid support member may be either a single base material having desirable surface characteristics, or a composite structure. If the solid support member is a single base material, suitable materials are polymers, inorganic, or mixed organic and inorganic surfaces that exhibit a contact angle with water of less than 90 degrees, preferably less than 50 degrees, and most preferably less than 10 degrees. Suitable materials include, but are not limited to, polymers containing the following functional groups: carboxyl groups and salts thereof, aldehydes, sulfonic acid and salts thereof, phosphonic acid and salts thereof, alcohol, primary amine, secondary amine, tertiary amine, amide, imide, quaternized ammonium, sulfonium, phosphonium, pyridine, cyclic amido (e.g. 2-pyrrolidinonyl, 2-piperidinonyl), oxyalkylene, and imidazole. Polymers or copolymers that contain or may be prepared to contain these functional groups include, but are not limited to, the following: carboxyl containing polymers such as, e.g., polymers and copolymers synthesized from acrylic acid and/or methacrylic acid including salts thereof; polyalkoxylates; poly(meth)acrylates; polyvinyl alcohol and copolymers, such as polyethylene-vinyl alcohol copolymer (e.g., available under the trade designation EVAL F101A from EVAL Company of America (EVALCA), Houston, Tex.); polyurethanes; polyureas; polyesters; polyamides, such as nylon 6,6; polyimides; polyethers; celluloses such as cellulose acetate, nitrocellulose, hydroxymethylcellulose, hydroxypropylcellulose; rayon; polyphosphate; polypeptide; polyacrylonitrile; polyacrylamide; polycarbonate; polyethersulfone; and combinations thereof.

Suitable inorganic materials include metal oxides, hydrates, and metal-hydroxyls (e.g. silicon hydroxyl (Si—OH) functional surfaces). Materials of construction that are both mixed organic and inorganic materials and suitable as supports include, but are not limited to, polymeric composites and ceramers, such as those based on copolymerization of metal alkoxides (e.g. tetraethoxyorthosilicate, n-hydroxypropyltrimethoxysilane) and organic monomers.

In embodiments where the solid support member is a composite structure, the first material or base material may be any polymeric, inorganic, or mixed organic and inorganic material to which the second material or coating material having desirable surface characteristics will adhere. Suitable base materials include, but are not limited to, polypropylene, polyethylene, polyvinylidene fluoride (PVDF), tetrafluoroethylene hexafluoropropylene vinylidene fluoride (THV), polyurethane, polyurea, polyester, polyvinyl acetate, polyamides, polyimides, poly(meth)acrylates, polyethersulfone, glass, silica, cellulosics, rayon, polycarbonate, polyvinyl alcohol, polystyrene, and combinations of the foregoing.

The base material may be modified via the application of suitable coating materials or surface treatments known to those skilled in the art to prepare a surface having a contact angle of water of less than 90 degrees, generally less than 50 degrees, and typically less than 10 degrees. Suitable coating materials may be prepared from monomers, polymers, or reactive metal alkoxides that may include one or more functional groups such as carboxylic acids and salts thereof, aldehydes, sulfonic acids and salts thereof, phosphonic acids and salts thereof, alcohols, primary amines, secondary amines, tertiary amines, amides, imides, quaternized ammonium, sulfonium, phosphonium, pyridine, cyclic amido groups (e.g. 2-pyrrolidinonyl, 2-piperidinonyl), oxyalkylene, ω-saccharinamidoundecylsiloxane (such as is described in Example 11 of U.S. patent application Ser. No. 10/713,174 filed Nov. 14, 2003), glycidyl, succinimido groups and imidazoles. Coating materials also may be prepared from monomers, polymers, or reactive metal alkoxides that do not contain functional groups including, but not limited to, alcohols, aldehydes, carboxylic acids, sulfonium, and phosphonium, but that may be subsequently modified by chemical reaction (e.g. oxidation, hydrolysis, degradation) to expose those groups at the surface. Coating materials may be applied using any known coating method including pattern coating (e.g. the coating material may be dropped in spots onto the base material). Surface treatment methods for preparation of a coating material suitable for a solid support member include but are not limited to: oxygen plasma, corona treatment, flame treatment, chemical vapor deposition, graft polymerization, and physical vapor deposition. As used herein, the term “coating” will be understood to include all constructions wherein a second material is applied to a first material on a solid support member such as continuous coatings, discontinuous coatings, coatings applied or arranged in a discontinuous pattern, coatings applied in a continuous pattern but arranged in a geometric or a non-geometric configuration, and the like.

The solid support member can be made to comprise materials that include: films, nonwoven materials such as cellulosic materials and materials that include a rayon/polypropylene nonwoven materials (e.g., those available under the trade designation Novonette 149-051 from BBA Nonwovens, Nashville, Tenn.) and nonwoven materials comprising rayon and polyester (e.g., 70% rayon/30% polyester), woven or knitted materials (e.g., prepared from cotton, rayon, or polymer materials), reticulated foams (e.g., polyurethane), open-celled foams (e.g., (meth)acrylate, polystyrene divinybenzene), porous ceramic inorganic frits (e.g., silica, alumina), fibers, particle-coated supports, sintered particles, sintered fibers, sponges (e.g., arranged in a brush like configuration), fiber bundles and membranes. In some embodiments of the invention, such as those to be inserted within a channel of a medical device (e.g., an endoscope), the solid support member comprises conformable, flexible, high integrity materials that are able to conform to and fit within the inner channels of a medical device while maintaining contact with the inner surfaces of the channel without experiencing structural failure (e.g., tearing or leaving remnants within the channel) when the solid support member is pushed and/or pulled through the length of the channel.

Suitable polymer membranes for use as the solid support member include those resulting from a phase inversion method in which an initially homogeneous polymer solution is cast and exposed to a cooler interface (e.g., a water bath or chilled casting wheel), and phase separation is induced in the solution film by lowering the temperature (thermally induced phase separation or “TIPS”). Suitable TIPS films or membranes may possess a broad range of physical film properties and microscopic pore sizes. They may be relatively rigid or non-rigid substrates prepared from any of a variety of polymers. TIPS membranes made according to the teachings of U.S. Pat. Nos. 4,539,256 and 5,120,594 are suitable for use in the invention and may comprise high density polyethylene (HDPE), polypropylene, polyvinylidenefluoride (PVDF), polyethylene-vinyl alcohol copolymer (e.g., available under the trade designation EVAL F101A from EVAL Company of America (EVALCA), Houston, Tex.), for example. The membrane may comprise a combination of materials such as a TIPS HDPE or a polypropylene membrane coated with a hydrophilic polymer (e.g., polyethylene-vinyl alcohol copolymer or EVAL) or a TIPS polypropylene support coated with a hydrophilic, strongly basic positively-charged coating such as polydiallyldimethylammonium chloride or a polymer incorporating quaternized dimethylaminoethylacrylate. The membrane also may comprise a strongly basic, positively-charged membrane comprising polyethersulfone copolymer with quaternary ammonium groups such as a membrane commercially available from Pall Corporation of Pensacola, Fla. under the trade designation “SB-6407.” Other supports may comprise nonwoven materials prepared from non-rigid polymers and other materials including nylon materials such as positively charged Nylon 6,6 materials (e.g., those available under the trade designation Biodyne B from Pall Corporation, Pensacola, Fla. and those available under the trade designation Magnaprobe from GE Osmonics Labstore in Minnetonka, Minn.), a hydrophilic treated polypropylene membrane with 0.45 micron pore size, available under the trade designation GHP-450 from Pall Corporation, polyolefins (with a hydrophilic treatment); polyester, nitrocellulose, cellulose acetate, hydrophilic polytetrafluoroethylene (PTFE), polycarbonate, and the like. Combinations of materials may be used as a solid support member and the foregoing description is to be understood to include the aforementioned materials alone and in combination with other materials.

Regarding specific indicators, compounds suitable for use as specific indicators may be selected from any of a variety of materials capable of interacting with a component of bio soil to provide a detectable response. A consideration in the selection of a specific indicator is to select an indicator that will not react with cleaning solutions or components thereof or other substances that do not originate from biological soil, such as those substances that are introduced during the manual cleaning step for a medical device such as an endoscope. Individual compounds may be used as a specific indicator as well as combinations of compounds. Suitable specific indicators include, for example, 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate; 4-methylumbelliferyl-β-D-glucopyranoside; 4-methylumbelliferyl-β-D-galactopyranoside; 4-methylumbelliferyl-phosphate, esculin, orthophthaldialdehyde (OPA), polydiacetylenes as described in U.S. Pat. Nos. 6,395,561B1; 6,306,5989B1; 6,277,652; 6,183,722; 6,080,423 and WO 01/71317; Bradford assay based on the binding of Coomassie Brilliant Blue dye to proteins (available from Pierce Biotechnology Inc. of Rockford, Ill.); Lowry assay based on the reduction of the phosphomolybdic-tungstic mixed acid chromogen by a protein; Biuret assay based on the interaction of Cu+2 with protein in an alkaline solution; and the bicinchoninic acid (BCA) (available from Pierce Biotechnology Inc. of Rockford, Ill.) to detect the reduction of Cu+2 ions to Cu+1 in the presence of protein. Combinations of two or more of the foregoing immobilized on a solid support member are also contemplated within the scope of the invention. Additionally, when indolyl functional indicators are used in combination with nitro blue tetrazolium chloride (NBT) or other electron acceptors, faster development of color will occur in the presence of biological soil.

Enzyme activity maybe enhanced by the addition of monovalent or divalent metal ions, e.g., sodium, potassium, zinc, manganese, magnesium, calcium. Manganese salts can be incorporated in indicator formulations that include NBT to avoid the premature development of color (e.g., in the absence of bio soil).

In embodiments where the detector is provided as a wipe, the specific indicator typically comprises 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate; 4-methylumbelliferyl-β-D-glucopyranoside; 4-methylumbelliferyl-β-D-galactopyranoside and combinations of two or more of the foregoing. Nitro blue tetrazolium chloride (NBT) or other electron acceptors may be added to the foregoing specific indicators for faster development of color in the presence of biological soil.

Enzyme activity maybe enhanced by the addition of monovalent or divalent metal ions, e.g., sodium, potassium, zinc, manganese, magnesium, calcium. Manganese salts can be incorporated in indicator formulations that include NBT to avoid the premature development of color (e.g., in the absence of bio soil).

A number of different means of immobilizing the specific indicator to the support may be utilized; for example, adsorption, ion exchange, entrapment, microencapsulation, cross-linking, copolymerisation, entrapment and cross-linking, compounding, and covalent attachment. Adsorption of the indicator to the support occurs as a result of van der Waals, electrostatic and/or hydrophobic interactions between the indicator and support. Ion exchange results in binding of the indicator to the support due to electrostatic attraction between charges on the indicator and support. Entrapment implies mechanical capture of the indicator inside microscopic or macroscopic voids in the support. Microencapsulation or encapsulation involves covering the indicator chemistry either with a chemically different coating, usually for the purpose of protecting the indicator from external environments until exposure to a triggering physical or chemical event (e.g. sudden change in local relative humidity). Indicators can be crosslinked onto or into the support if they have reactive groups attached to them, either via surface-grafting or copolymerization into the bulk of the support, or they may be entrapped and subsequently cross-linked into the support. Indicators also may be compounded as additives into polymeric supports via extrusion processing. Covalent attachment of indicators to the support may be achieved with solid support members functionalized with one or more ligands that react with functional groups on the indicator. Exemplary ligands include those mentioned in the Examples herein. It is desirable that the immobilization is accomplished in a manner that avoids steric hindrance in the reaction between the solid-phase indicator and the solution-phase reactant. Additionally, the immobilization should not inactivate the indicator. Particularly useful and convenient techniques are entrapment of the indicator chemistry in a microporous membrane and/or adsorption of the indicator chemistry to a support.

The selection of specific indicator may be influenced by the markers present in biological soil. Exemplary markers for detection include proteins, endotoxins, enzymes, and nucleotides such as adenosine triphosphate (ATP). Protein is a useful marker for the presence of biological soil because of its ubiquitous presence in human secretions as well as in microbial cell components. The presence of an endotoxin would be representative of the lipopolysaccharide component of gram-negative bacteria. Detection of enzyme activity would signify the presence of enzymes that could be mammalian, plant or microbial in origin. Suitable enzymes for detection include, without limitation, galactosidases, phosphatases, glucosidases, lactosidases and others that are normally found in human secretions as well as those originating from a microbial or plant source. Other markers include sulfatases and fatty acid esterases.

Referring to FIGS. 7-10, a detector 310 according to the invention is shown wherein each of the Figures incorporate different features which will now be described. The detector 310 includes a solid support member 312 associated with a retaining member 314 for retaining the solid support member 312 thereon. The retaining member 314 includes a first end 316 and a second end 318 and an elongate body portion 320 extending between the first end 316 and the second end 318. In the embodiment of FIG. 7, the solid support member is affixed to the first end 316 of the retaining member 314. Additionally, the length of the retaining member 314 may be varied as desired and is typically dimensioned in order to serve as a handle to facilitate contact between a specific indicator immobilized on the solid support member 312 and a surface to be tested. In this construction, the solid support member 312 may be positioned or extended to reach surfaces that may be out of reach or otherwise inaccessible. In other words, the user of the detector 310 may grasp the end of the retaining member 314 that is distal to the solid support member (e.g., second end 318) and use the length of the elongate body portion 320 of the retaining member 314 to reach a relatively remote or inaccessible surface with the solid support member and the specific indicator associated therewith. In some embodiments, the retaining member is dimensioned to fit within a channel of a medical instrument, such as a channel of an endoscope, to allow the solid support member 312 and the specific indicator to sample the channel walls for the presence of bio soil, including patient soil.

Referring to FIG. 8, the detector 310 includes solid support member 312 affixed to the second end 318 of the retaining member 314. Also, a cleaning brush 322 is provided and is affixed to the first end 316 of the retaining member 314. In this construction, the cleaning brush 322 provides a means for cleaning. In some embodiments, the brush 322 is sized and configured to clean a medical device such as an endoscope, and typically the brush 322 is sized and configured for cleaning within a channel of a medical device. Following a cleaning operation, the detector 310 may then be used to test for the remaining presence of bio soil on the device and especially within the channel(s) of the device.

In the foregoing embodiments, the retaining member is typically affixed to the solid support member in a permanent or non-removable manner. In other words, the attachment between the solid support member and the retaining member is not generally intended to permit detachment of these parts from one another. Regarding the manner of attachment, the solid support member and the retaining member may be attached to one another in any manner known to those of skill in the art including, without limitation, adhesive attachment, melt bonding, mechanical attachment (e.g., staples, buttons, snaps or the like). It is contemplated that all manners of attaching the solid support member to the retaining member are within the skill of those practicing in the field are encompassed within the present disclosure.

FIG. 9 shows still another configuration for the detector 310 wherein the brush 322 is associated with the first end 316 of the retaining member 314. The solid support member 312 is shown detached from the retaining member 314 to illustrate that the solid support member 312 may be releasably associated with the retaining member 314. In other words, the solid support member is provided as a separate component of the detector 310 that is detached from the retaining member 312 but which may be affixed to the retaining member 314 at any place along the length of the elongate body portion 320 or at either of the first end 316 or the second end 318. Moreover, the solid support member may be removed from the retaining member 314 following use so that the retaining member 314 and the brush 322 may be cleaned, disinfected and possibly sterilized as needed for use in a subsequent application. In the depicted configuration, the solid support member 312 includes wing-like projections 313 a and 313 b at an end of the solid support member. The wing-like projections 313 a and 313 b may comprise an inner reinforcing structure with a thin steel or metal wire to give each of the projections 313 a and 313 b some reinforcement and to provide a means for the solid support member 312 to be affixed to the retaining member 314 (e.g., by hand twisting of the wing-like projections around the outer circumference of the retaining member 314). Alternatively, the wing-like projections 313 a and 313 b may each be of a length to permit the two projections to be fastened to each other and the retaining member 314. It will be appreciated that the solid support member 312 and the retaining member 314 may be releasably affixed to one another by any known means (e.g., by use of a clip, adhesive or other fastener).

In the configuration of the detector shown in FIG. 9, the detector 310 may be provided with a single retaining member 314 and multiple solid support members 312 that have been pretreated with one or more specific indicators. In such an arrangement, the multiple solid support members 312 may include the same specific indicator(s) or different specific indicator(s).

FIGS. 10-13 a illustrate alternate configurations for the solid support member in the detector of the invention. FIG. 11 depicts a solid support member 360 positioned along retaining member 364. The solid support member 360 is comprised of a plurality of bristle-like members 362 projecting perpendicularly from the retaining member 364. In applications such as the detection of bio soil in a channel of a medical device, a sufficient number of such bristle-like members 362 are provided to ensure that the solid support member 360 samples substantially the entire surface of the channel when positioned therein.

FIG. 11 depicts another configuration of a solid support member 370 useful in the present invention. The support member is configured to permit bidirectional use in sampling the inner channel of an endoscope. In other words, the solid support member 370 may be pushed and/or pulled through the inner channel of a medical device in determining the presence or absence of detectable bio soil. Additionally, the solid support member 370 includes a relatively large surface area which facilitates the visual identification of a color change in the presence of bio soil.

FIG. 12 depicts another configuration of a solid support member 380 useful in the present invention. As shown, the solid support member 380 may be made from a foam material that is configured to be directed through the inner channel of a medical device in a single direction. The solid support member 380 may be made using less material than, for example, the solid support member 370 in the embodiment of FIG. 11. However, the solid support member 380 includes a sufficient surface area to facilitate a rapid and relatively easy identification of a color change caused by the interaction of bio soil and the specific indicator associated with the solid support member.

FIG. 13 a depicts another configuration of a detector 388 having a solid support member 390 that is flag-shaped comprising somewhat triangular shaped surfaces. The solid support member 390 is affixed to the retaining member 392 and comprises a first edge 394 attached to the retaining member and a second edge 396 remote from the first edge 394. The second edge 396 is shorter than the first edge 394 so that the side edges 395 and 397 extend between the first and second edges 394 and 394 in a non-parallel manner. Moreover, the angle (designated as α) formed between side edge 395 and the retaining member 392 is depicted as being about 45 degrees. In some embodiments, the angle may be different than is shown but will typically be less than 90 degrees, more typically less than 45 degrees, and often between about 20 and about 45 degrees. In this configuration, the solid support member 390 is useful in the sampling of a channel within a medical device. The angle α between the solid support member 390 and the retaining member 392 facilitate a uniform wrapping of the solid support member 390 around the retaining member 392 when inserted within the channel of a medical device, for example. It will also be appreciated that the solid support member 390 may be provided in a configuration in which the solid support member 390 is wrapped around the retaining member 392. In such a configuration, the size of the angle between side edge 395 and the retaining member 392 becomes less important in the overall performance of the detector 388.

FIG. 13 b illustrates a use of the detector 388 in the sampling of the wall of a channel 400 in a medical device such as an endoscope. The solid support member 390 is of a length that facilitates the curling or wrapping of the solid support member in a ‘cork-screw’ or spiral pattern around the retaining member 392. The spiral wrapping of the solid support member 390 facilitates contact between a surface of the solid support member 390 and the channel walls along the entire channel surface as the detector 388 is moved through the channel 400 in the direction indicated by the arrow. In some embodiments, the length of the solid support member is about 50 mm.

Referring now to FIG. 14, a solid support member 420 is depicted as affixed to a retaining member 422, according to the invention. Solid support member 420 comprises a first area 424 comprised of a first material and a second area 426 comprised of a second material. Suitable first and second materials include those described elsewhere herein. In some embodiments, the first material can comprise a nylon non-woven sheet, for example, and the second material can comprise a plurality of TIPS membrane segments affixed to the first material. In some embodiments, the first and second materials are affixed to one another using a hot melt adhesive applied (e.g., sprayed) to the TIPS segments. In this construction, a specific indicator may be immobilized within the second area 426. In embodiments where the specific indicator is colorimetric, the detection of bio soil can be enhanced if the first material is chosen to provide a background color that will visibly enhance the color contrast between the first and second materials upon a color change in the second material 426 caused by the interaction of the specific indicator with the bio soil.

Referring now to FIG. 15, a solid support 430 is depicted as affixed to a retaining member 432, according to the invention. Similar to the embodiment depicted in FIG. 14, solid support member 430 comprises a first area 434 comprised of a first material and a second area 436 comprised of a second material. In this construction, specific indicator may be immobilized within the second area 436 such as by printing the specific indicator on the solid support member within the second area 436. In embodiments where the specific indicator is colorimetric, the detection of bio soil can be enhanced if the first material is chosen to provide a background color that will visibly enhance the color contrast between the first and second materials upon a color change in the second material 436 caused by the interaction of the indicator with the bio soil.

In the detector constructions of the invention, a solution of the specific indicator may be coated onto the solid support member. The solvent may then be evaporated, thereby leaving the indicator compound immobilized on the solid support member. In some embodiments, the solid support member may be porous so that the specific indicator is retained within the pores of the solid support member through physical entrapment of the specific indicator within the pores, or by, for example, van der Waals forces, by hydrophobic and/or ionic interactions with the material used in the solid support member. In some embodiments, the solid support member may be treated prior to applying the specific indicator in order to render the solid support member hydrophilic and/or capable of covalently bonding with the specific indicator compound. A solution of the specific indicator may be coated uniformly over the entire surface of the solid support member or it may be coated onto the surface in a pattern covering some portion of the surface.

In some embodiments, the surface of the solid support member may be provided as uniformly white with the specific indicator immobilized on at least a portion of the white surface. In these embodiments, the white background will provide a sharp color contrast to the color generated by the reaction between the specific indicator and the bio soil and further facilitating the identification of a colorimetric reaction. In some embodiments, the surface of the solid support member may initially comprise a low fluorescence background to facilitate detection of a change in fluorescence upon a reaction between the specific indicator and bio soil.

In some embodiments, detection of a reaction between the indicator compound and biological soil may be enhanced if the indicator compound is applied to the surface of the support in a predetermined or ordered pattern. Moreover, background patterns on the surface of the solid support member may be provided to enhance or emphasize the presence of a colorimetric reaction, such as the patterns shown in FIGS. 22 a-22 c. In each of the Figures, moving from left to right, a progression is illustrated showing a change from an initial pattern to a final pattern facilitated by a colorimetric reaction. Referring to FIG. 22 a, a series of small, closely grouped, darkly colored background circles 460 are provided along with a second pattern comprised of non-colored or lightly colored foreground circles 462. The foreground circles 462 may comprise visible circles of a lighter color than the background circles 460 or the foreground circles 462 may represent a colorless pattern of a specific indicator immobilized on the surface of a solid support member. Upon the detection of biological soil, a calorimetric reaction caused the foreground circles 462 to become visibly darker, so that the surface of the associated solid support member takes on a different appearance as the colorimetric reaction progresses to completion. In the pattern shown in FIG. 22 a, the series of diagonally extending broken lines appears to become a series of unbroken lines occupying a rectangular area on the surface of the solid support member.

Similarly, FIG. 22 b illustrates a pattern of foreground circles or dots 466 and background circles or dots 468 which progress into a geometric pattern as a colorimetric reaction progresses to completion. FIG. 22 c illustrates a series or pattern of background circles 472 which may be initially presented as a lightly colored pattern or as a colorless and undetectable surface treatment applied to the solid support member. A printed or fixed mark, shown as a line segment 474 is provided over the background circles 472. As a colorimetric reaction progresses, the background circles become visibly darker until the appearance of the background circles 474 becomes the visually dominant feature, masking the presence of the segment 474. Patterns such as the foregoing are contemplated within the scope of the invention as a possible form for presenting the specific indicator on the solid support member to facilitate the visual recognition of a colorimetric reaction indicative of the presence of bio soil on a surface.

In embodiments of the invention, patterns like those described in relation to FIGS. 22 a through 22 c, are imprinted or otherwise affixed to the solid support member. The pattern represents an area on the solid support member that is to be visually inspected for a calorimetric response following the sampling of a surface. Typically, the area of the pattern will be large enough to facilitate the easy and quick visual identification of such a reaction, but the invention is not limited to any particular dimension or size of the area on the solid support member that has been treated with the specific indicator, whether in a pattern or otherwise.

As mentioned, the detector of the invention is useful in the detection of bio soil on a surface such as the surface of a medical device or any other surface which may have been exposed to bio soil such as food preparation surfaces, for example. To detect for the presence of bio soil on a surface, the detector described above with reference to FIGS. 7-14 may be used in a method comprising:

-   -   contacting the solid support member and the specific indicator         with the surface;     -   withdrawing the solid support member from the surface; and     -   inspecting the solid support of the detector for a detectable         response to thereby determine whether the specific indicator         immobilized on the solid support has interacted with a component         of biological soil.

In the foregoing method, the detector may be handled by a user grasping the detector along the axis of the retaining member (e.g., retaining member 314, FIG. 7), and extending the solid support member to a position on the surface being examined so that the solid support member and the specific indicator are in contact with the surface. Typically, the surface being tested and/or the solid support member will be at least slightly wet (e.g., with water). Contact with the surface at ambient temperature is generally sufficient to initiate an interaction between the bio soil (if present) and the specific indicator. When the detector is withdrawn from the surface, the solid support member may be inspected for a change in appearance such as a color change. In some embodiments, the solid support member is examined to detect changes in the fluorescence of the solid support member. Changes in color, appearance or fluorescence are indicative of the presence of bio soil. Typically, a change in appearance or fluorescence will be detectable in the solid support member in a relatively short period of time. Generally, a detectable change will be observed within 15 minutes or less, more typically less than 10 minutes, even more typically, less than 5 minutes and often less than one minute. As shown in the appended Examples, a detectable change is often apparent on the solid support member within 30 seconds or less. Additionally, the solid support member retains the specific indicator prior to any contact with biological soil and also retains the reaction products resulting from the interaction between the specific indicator and bio soil.

The detector of the invention may be used for the detection of bio soil on any surface. Exemplary of such as surfaces are those that contact food such as food preparation areas, food processing areas and the like. Any surface that potentially includes bio soil can be sampled with the detector of the invention such as bathroom and kitchen surfaces (e.g., sinks, counters, cutting boards, and toilet surfaces), floors and walls or the like. In an aspect of the foregoing embodiment, a cleaning or disinfecting solution may be incorporated into the solid support member so that the cleaning or disinfecting of a surface may be performed at the same time the surface is being tested for bio soil.

In some embodiments, the detector is useful for the detection of bio soil in the inner channels of a medical device. In the reprocessing of reusable endoscopes, for example, the detector of the invention is useful in the determination of the presence of residual bio soil following the cleaning steps normally employed for endoscope reprocessing. In particular, a soiled endoscope that has been used in a medical or surgical procedure is typically cleaned by an initial manual cleaning step to remove visible debris or bio soil from the surfaces of the instrument, including the surfaces of the inner channels. This is typically accomplished with a brush and a cleaning solution or solvent comprising an enzymatic cleaning compound applied to the surfaces of the endoscope. The surfaces of the endoscope are normally scrubbed with a brush to remove all of the visibly detectable bio soil from the surfaces of the medical device. Thereafter, the endoscope is subjected to a disinfection step using a high level disinfectant. After disinfection of the device with the high level disinfectant, the endoscope is thoroughly rinsed and dried so that it may be used again.

In order to evaluate the effectiveness of aforementioned manual cleaning step, the detector of the invention described above with reference to FIGS. 7-14 may be used to determine whether detectable bio soil remains on any of the surfaces of the endoscope prior to subjecting the endoscope to high level disinfection. In such a method, the detector of the present invention is used by first contacting the solid support member with a surface. In some embodiments, the retaining member of the detector is dimensioned to fit within the channels of the endoscope or other medical device to place the solid support member in contact with the walls of the channel. When used within a channel, the solid support member is typically chosen from very flexible materials so that the solid support fits within the channel in a manner facilitating contact between the specific indicator associated with the solid support member and the channel walls. The retaining member is normally of a sufficient length to ensure that the solid support member can be exposed to the wall of the channel along the entire length of the channel. Sampling of a channel wall in a medical device will typically be accomplished by sliding the detector through the channel in a single direction.

In another aspect of the invention, the detector is provided in a form that facilitates the detection of bio soil on the solid support member by rinsing the surface being tested with water or another liquid and thereafter capturing the rinse fluid in a manner that facilitates contact between the rinse fluid and the immobilized specific indicator on a solid support member.

Referring now to FIG. 2, another embodiment of a detector is depicted according to the invention and will now be described. An endoscope 500 is shown wherein one of its inner channels is being tested for the presence of bio soil. At one end 502 of the endoscope 500, a suitable sampling or rinsing fluid 508 (e.g., water, phosphate buffered saline) is inserted into the channel of the endoscope 500 in a manner that facilitates the sampling of the entire length of the channel so that the fluid 508 exits the channel of the endoscope 500 at a second end 504 thereof. The sampling fluid 508 is dispensed into the channel of the endoscope 500 with an appropriate amount of force to push the fluid through the channel. In some embodiments, a fluid dispenser such as a syringe 506 is used to dispense a predetermined amount of sampling fluid 508 into the channel of the endoscope 500. The sampling fluid 508 exits the second end 504 of the endoscope 500 and contacts the solid support member 510 with the specific indicator immobilized within an area 512 of the solid support member 510.

It will be appreciated that the invention is not to be limited to the sampling of an endoscope. Sampling fluid can be applied to any of a variety of surfaces and subsequently brought into contact with a specific indicator immobilized on a solid support member. The sampling fluid liquid may be brought into contact with the solid support member in any manner such as by the placement of the solid support member within the path of the sampling fluid as the fluid exits the channel or other surface being sampled. In some embodiments, the solid support member is simply placed within a stream of sampling fluid.

In some embodiments, the solid support member 512 is positioned within a receptacle that can also capture the sampling fluid 508 after the fluid has contacted the surface being tested, such as the channel of the endoscope 500. FIGS. 3-6 illustrate a receptacle 520 suitable for use in the present invention. It will be appreciated that receptacles used in the embodiments of FIGS. 3-6 are typically transparent to excitation and emission wavelengths for fluorescence and to visible wavelengths of light for visual detection.

In FIG. 3, the receptacle 520 is shown with a cap 522 having an open upper surface 524 defining an orifice 526 for allowing sampling fluid into the vial 528. In some embodiments, the upper surface 524 comprises a flexible material (e.g., silicone rubber) dimensioned to snugly fit over the end of a medical device (e.g., end 504 of endoscope 500) to allow sampling fluid to pass directly from the channel into the vial 528 and thereby avoiding the loss of sampling fluid by splashing or the like. Solid support member 530 is positioned within the vial 528 so that the area 532 treated with specific indicator is positioned to be exposed to the incoming stream of sampling fluid passing into the receptacle 520 through the orifice 526 in the upper surface 524 of cap 522. The solid support member 530 may be positioned within the vial 528 in a friction fit between the inner walls of the vial 528 and the edges of material comprising the solid support member 530. Alternatively, the solid support member 530 may be affixed within the vial 528 using an appropriate adhesive, for example. The specific indicator may provide a colorimetric response to the presence of bio soil or it may provide a fluorescent response that can be detected through the walls of the vial 528.

Referring now to FIG. 4, the construction of the receptacle is identical to that described for FIG. 3. However, the solid support member 540 is affixed to the inner wall of the vial 528, and specific indicator is immobilized on strip 542 within the solid support member 540. Typically, the solid support member 540 comprises a material as described herein wherein the solid support member 540 is affixed to the inner wall of the vial 528. Alternatively, the solid support member may comprise an adsorbent material deposited onto the inner wall of the vial 528 such as silica, cationic polymers (e.g., nylon), amine containing polymers, amine containing organosiloxanes and the like. The solid support member 540 is in intimate contact with the wall of the vial 528 to minimize any calorimetric or fluorescence absorbance by the sampling fluid that might partially obscure the calorimetric or fluorescent response of the specific indicator interacting with bio soil.

In FIG. 5, the solid support member 550 comprises a strip of material having an area 552 that comprises the immobilized specific indicator. The solid support member 550 is tethered to opposing sides of the wall of the vial 528 with a pair of adhesive strips 554 and 556. The solid support member 550 is positioned approximately centrally within the vial 528 so that the specific indicator in the area 552 is also in a centralized position within the vial to facilitate contact with the sampling fluid on both sides of the solid support member 550.

FIG. 6 depicts an embodiment of the invention in which the solid support member is the area 560 of the inner wall of vial 528. The specific indicator is immobilized on the solid support member 560 by chemically immobilizing the specific indicator on the walls of vial 528 so that a calorimetric reaction becomes visibly evident as a pattern that develops on the wall. Alternatively, the specific indicator may dissolve in the sampling fluid so that the fluid becomes colored or fluorescent as a reaction occurs between the specific indicator and bio soil in the sampling fluid. Typically, the vial 528 should provide a path length to enhance the limits of detection by either visual or fluorescent detection.

Referring to FIGS. 16-18, another embodiment of the invention is shown and will now be described. Here, another form of a receptacle 600 is depicted to capture sampling fluid drawn from a surface and into the container under a vacuum pull. FIG. 16 depicts the receptacle 600 prior to allowing sampling fluid therein. A sponge 602 is positioned in the container with a solid support member 604 associated with a surface of the sponge. Specific indicator is immobilized within the area 606 on the solid support member 604 comprised of the materials described herein. Inlet 610 connects with the source of sampling fluid (e.g., an endoscope), and the outlet 612 allows the container to be connected to a vacuum pump. In the progression depicted beginning with FIG. 16 and ending at FIG. 19, the container 600 (initially empty) receives sampling fluid therein through the inlet 610 under the draw of a vacuum connected to the outlet 612. The sponge 602 absorbs sampling fluid as it is drawn into the container 600. Depending on the volume of the sampling fluid used, the sponge 602 fills with the sampling fluid and swells, thereby filling the container 600 with the fluid-filled sponge 602 (see FIG. 18). The solid support member 604 and the specific indicator are in intimate contact with the sponge 602 so that the sampling fluid within the sponge 602 will contact the solid support member 604 and the specific indicator immobilized thereon. A colorimetric or fluorescent reaction is detected on the solid support member to indicate the presence of bio soil in the sampling fluid, as previously described.

In another embodiment, FIGS. 19-21 illustrate a container with inlet 610 and outlet 612 ports, as previously described. The sponge 626, however, is substantially smaller than the sponge 602. Solid support member 604 with areas 606 of immobilized specific indicator is oriented within the container on top of the sponge 626. In the progression depicted in FIGS. 19-21, the sponge 626 swells up upon contact with the sampling fluid until the filled sponge 626 blocks the openings 610 and 612 (see FIG. 21). In all other respects, the embodiment of FIGS. 19-21 is the same as that described for FIGS. 16-18.

In some embodiments, the solid support member may be positioned on or within a retaining member such as the receptacle discussed in the foregoing embodiments. The retaining member will typically support the solid support member and the specific indicator with the retaining member positioned to facilitate contact between the liquid and the solid support member. It will be appreciated that the retaining member may be any structure or construction that holds and retains the solid support member to facilitate contact between the specific indicator and the liquid after the liquid has contacted the surface being tested. In some embodiments, the retaining member is a receptacle (e.g., as are described in FIGS. 3-6 and 16-21) capable of collecting and retaining the liquid, and the solid support and specific indicator are positioned within the receptacle to facilitate contact between the liquid and the specific indicator the liquid is collected in the receptacle. In some embodiments, the retaining member comprises a structure capable of channeling the liquid therethrough, the solid support and specific indicator positioned within the retaining member to facilitate contact between the liquid and the solid support member when the liquid is channeled through the retaining member. Exemplary of structures capable of channeling the liquid therethrough include, for example, a tubular member to having a fluid inlet through which the liquid enters the retaining member and a fluid outlet through which the liquid exits the retaining member, the solid support and specific indicator typically positioned within the retaining member between the fluid inlet and the fluid outlet.

As mentioned, the use of a sampling fluid with the foregoing components provides a method for detecting bio soil associated with a surface, comprising:

-   -   Contacting the surface with a liquid;     -   After the liquid has contacted the surface, contacting the         liquid with the solid support member and the specific indicator         of the detector of claim 1; and     -   Inspecting the solid support member for a detectable response to         determine whether the specific indicator has interacted with         biological soil.

In this aspect of the invention, liquid is used to contact the surface being sampled, to loosen and dislodge bio soil retained on the surface, and thereafter flush the dislodged soil into a vessel where the bio soil may interact with a specific indicator. The liquid is able to probe all of the portions of the surface being sampled including the spaces within joints or connection areas where bio soil may become entrapped. After the liquid has made contact with the surfaces being sampled, it is brought into contact with the specific indicator immobilized on a solid support, as described herein. In some embodiments, the biological soil detector may utilize a liquid in a passive mode wherein the liquid is delivered to the surface and thereafter brought into contact with the specific indicator without assistance. In some embodiments, the biological soil detector is provided with a vacuum to assist in the delivery of liquid to the surface of the solid support material. Use of liquid to loosen bio soil from all potentially contaminated surfaces in a channel of a medical device can facilitate the sampling of channels that are too small to be directly probed with the solid support member affixed to a retaining member (e.g., air and water channels of an endoscope), as described herein. Moreover, the vacuum driven embodiments described above with reference to FIGS. 16-21 should typically be compatible with hospital vacuum systems.

It will also be appreciated that the foregoing device and method of use are not limited to being used in the detection of bio soil on medical devices such as endoscopes. Other surfaces, such as surfaces that have contact with food, may also be sampled to determine the presence or absence of biological soil. Any surface may be sampled for the presence of bio soil using the described devices and methods of the present invention.

Additional features of the preferred embodiments are further described in the following non-limiting Examples.

EXAMPLES

Glossary Acronym Trade Name Generic Name Source/Address Substrate chemistries (specific indicators) BCIP/NBT 3-Part Phosphatase Substrate System Kirkegaard & Perry containing 5-bromo-4-chloro-3-indolyl Laboratories, Inc, phosphate, p-toluidine salt, nitro blue Gaithersburg, MD tetrazolium chloride and TRIS buffer NBT/BCIP 1- Nitro blue tetrazolium chloride/5- Pierce Step ™ bromo-4-chloro-3-indolyl phosphate, p- Biotechnology, Inc., Solution toluidine salt Rockford, IL X-glc or X- 5-bromo-4-chloro-3-indolyl β-D- Biosynth AG, Inc., chemistries glucopyranoside Staad, Switzerland BCI-gal, X-gal 5-bromo-4-chloro-3-indolyl β-D- Kirkegaard & Perry or X- galactopyranoside Laboratories, Inc. or chemistries Biosynth AG, Inc. BCIP, 5-bromo-4-chloro-3-indolyl Biosynth AG, Inc. X-phos or X- phosphate, p-toluidine salt phos-p-tol or X-chemistries NBT Nitro blue tetrazolium chloride TCI, Tokyo, Japan Magenta ™- 5-bromo-6-chloro-3-indolyl-β-D- Biosynth AG, Inc. β-D-glc glucopyranoside Magenta ™- 5-bromo-6-chloro-3-indolyl-β-D- Biosynth AG, Inc. β-D-gal galactopyranoside Magenta ™- 5-bromo-6-chloro-3-indolyl Biosynth AG, Inc. phos p-tol phosphate, p-toluidine salt 5-bromo-6-chloro-3-indolyl Biosynth AG, Inc. phosphate, disodium salt 4-MU-β-D-glc 4-methylumbelliferyl-β-D- Biosynth AG, Inc. glucopyranoside 4-MU-β-D-gal 4-methylumbelliferyl-β-D- Biosynth AG, Inc. galactopyranoside 4-MU-phos 4-methylumbelliferyl-phosphate, p- Biosynth AG, Inc. toluidine salt esculin Sigma-Aldrich, St. Louis, MO OPA orthophthaldialdehyde Pickering Laboratories, Mountain View, CA Coomassie Protein Assay Reagent Pierce Plus□ Biotechnology Inc., Rockford, IL Enzymes Alkaline phosphatase Sigma-Aldrich, St. (Sigma-Aldrich: 4000 units/mg) Louis, MO or (Calbiochem: 35,820 units/mL) Calbiochem, La (1 unit of activity = amount of enzyme Jolla, CA needed to hydrolyze 1 micromole of p- nitrophenyl phosphate/minute at 25° C., pH = 9.6) β-glucosidase Sigma-Aldrich or Worthington Biochemical Corp., Freehold, NJ β-galactosidase Worthington Biochemical Corp. or Sigma-Aldrich Pseudomonas aeruginosa MBL 0484 Microbiologics, culture St. Cloud, MN BSA Bovine serum albumin Sigma-Aldrich Chemical Co. Calf serum HyClone, Logan, UT Solvents DMF dimethylformamide Sigma-Aldrich IPA Isopropyl alcohol Sigma-Aldrich MEK Methylethylketone Sigma-Aldrich Support materials and coatings Metricel SB- Copolymer of quaternary ammonium- Pall Corporation, 6407 functional polymer and polyethersulfone East Hills, NY Biodyne B Cationic nylon 6,6 Pall Corporation East Hills, NY GHP-450 hydrophilic treated polypropylene Pall Corporation, membrane with 0.45 micron pore size East Hills, NY Magnaprobe Positively charged nylon membrane Osmonics, Minnetonka, MN HDPE FINATHENE High density polyethylene ATOFINA, 7208 Houston, TX Silica Gel Glass Backed TLC Plates (2.54 cm Whatman Inc., by 7.62 cm)(1 inch by 3 inches) Clifton, NJ EVAL or EVAL ™ Polyethylene-poly(vinyl alcohol) EVAL Company EVOH F101A copolymer of America (EVALCA), Houston, TX PP 51S07A Polypropylene SUNOCO Chemicals, Polymer Division, Pittsburgh, PA PDAMAC Poly(diallyldimethylammonium) chloride Sigma-Aldrich TIPS Thermally induced phase separated U.S. Pat. No. microporous membrane 4,539,256 (Ex. 23) and 5,120,594 Novonette 149- Rayon/PP Nonwoven BBA Nonwovens, 051 Nashville, TN 70% rayon, 30% polyester nonwoven Ahlstrom Windsor Locks LLC, Fiber Composites Division, Windsor Locks, CT ω-saccharinamidoundecyltrichlorosilane U.S. Patent Application No. 10/713174 (Ex. 11) (N-trimethoxysilylpropyl) United Chemical polyethyleneimine Technologies, Inc., Bristol, PA (Currently available from Gelest, Inc. Morrisville, PA) 3-aminopropyltriethoxysilane OSi Specialties North America, a Witco Company, South Charleston, WV(Currently available from Gelest, Inc.) N-trimethoxysilylpropyl-N,N,N- Huls America, trimethylammonium chloride Bristol, PA (Currently available from Gelest, Inc.) Buffers, solvents, additives, wetting agents Tween 80 Polyoxyethylene (20) sorbitan monooleate ICI Surfactants, Wilmington, DE PBS Phosphate buffered saline, pH 7.4 Examples 17, 20 TRIS tris(hydroxymethyl) amino methane Sigma-Aldrich Iron buffer Kirkegaard & Perry Laboratories, Inc. 1,2-propanediol J. T. Baker, a Division of Mallinckrodt, Phillipsburg, NJ glycerol Sigma-Aldrich FeCl₃ Ferric Chloride Sigma-Aldrich MnCl₂ Manganese Chloride Sigma-Aldrich MgCl₂ Magnesium Chloride Sigma-Aldrich HCl Hydrochloric Acid J. T. Baker, a Division of Mallinckrodt GPS 3-glycidoxypropyltrimethoxysilane OSi Specialties North America, a Witco Company (Currently available from Gelest, Inc.)

Example 1

A solution was made using BCIP/NBT 3-Part Phosphatase Substrate System (Kirkegaard & Perry Laboratories, Inc.) by combining 12.5 μL of BCIP, 50 μL of NBT, 50 μL of TRIS buffer, and 37.5 μL of water. The rough side of Biodyne B film was spotted using a micropipette to place 5 μL of the solution made from the BCIP/NBT 3-Part Phosphatase Substrate System and air dried for 30 minutes. The spotted film was respotted with 5 μL of alkaline phosphatase (Calbiochem) at a concentration of 3.6 units/mL.

After 26 seconds, a blue-purple spot appeared indicating the presence of alkaline phosphatase.

Example 2

A 0.05 M TRIS buffer at pH=8.9 was prepared by mixing 50 mL 0.1 M TRIS in deionized water with 7 mL 0.1N HCl and 43 mL of deionized water. A first solution was prepared by combining 25 mg BCIP with a mixture of 3 mL 1,2-propanediol, 2 mL glycerol, and 5 mL 0.05 M TRIS buffer (pH=8.9). A second solution was prepared by combining 50 mg NBT with 3 mL 1,2-propanediol, 2 mL glycerol, and 5 mL 0.05 M TRIS buffer (pH=9). Next 100 μL of the first solution was mixed with 100 μL of the second solution, 100 μL of 0.1 mg/mL MnCl₂ in water, and 1 mL of TRIS buffer at pH=9. The resulting solution was spotted using a micropipette to place 5 μL spots on the rough side Biodyne B film and the film was allowed to air dry at room temperature for 30 minutes. Next 5 μL spots of alkaline phosphatase (Calbiochem) at concentrations of 3.5 units/mL or 1.7 units/mL were placed on the previously spotted film.

The average time to obtain a color response was 45 seconds for the 3.5 units/mL alkaline phosphatase and 20 seconds for the 1.7 units/mL alkaline phosphatase.

Example 3

Three solutions, A, B, and C, were prepared separately. Solution A was prepared by dissolving 25 mg of BCIP from Biosynth in 10 mL of deionized water. Solution B was prepared by dissolving 50 mg of NBT in 10 mL of deionized water. Solution C was prepared by adding 100 mg MgCl₂ and 100 mg MnCl₂ to 10 mL of the TRIS buffer prepared as described in Example 2. The solutions for Runs 1-10 were prepared by combining 400 μL of solution A with 100 μL of solution B and 500 μL of solution C. The solutions for Runs 11-20 were prepared by combining 800 μL of solution A with 100 μL of solution B and 100 μL of solution C. The solutions for Runs 21-30 were prepared by combining 300 μL of solution A with 300 μL of solution B and 400 μL of solution C. Five microliters of each of the resulting solutions were placed in spots using a micropipette on Biodyne B film and allowed to air dry for 30 minutes at room temperature. In Runs 6-10, 16-20, and 26-30, the dried films were rinsed with flowing tap water and allowed to air dry once more for 30 minutes at room temperature. After drying for Runs 1-30, 5 μL of alkaline phosphatase (Calbiochem) solutions with concentrations of 3.5, 1.79, 0.89, 0.45, and 0.1 units/mL were each placed on the dried spots and the time needed to see the resulting grey-black color was recorded. The results that are shown in Table 1 were averaged for three spots. TABLE 1 Concentration of alkaline Time until color Run Number phosphatase (units/mL) developed (seconds) 1 3.5 42 2 1.79 28 3 0.89 45 4 0.45 105 5 0.10 45 6 3.5 20 7 1.79 26 8 0.89 41 9 0.45 40 10 0.10 120 11 3.5 49 12 1.79 96 13 0.89 57 14 0.45 96 15 0.10 120 (faint) 16 3.5 46 17 1.79 39 18 0.89 50 19 0.45 99 20 0.10 154 21 3.5 20 22 1.79 29 23 0.89 26 24 0.45 59 25 0.10 90 26 3.5 26 27 1.79 26 28 0.89 39 29 0.45 109 30 0.10 60

The color developed in under 2 minutes regardless of rinsing with flowing tap water or changing the concentration of the BCIP. The concentration of the enzyme reached a limit of detection for Run 20.

Example 4

A 1× concentration of 50 μL BCI-gal/2 mL of iron buffer solution was prepared according to the manufacturer's instructions (Kirkegaard & Perry Laboratories, Inc.). A 2× concentration of 100 μL BCI-gal/2 mL of iron buffer solution was prepared. Next a 4× concentration of 100 μL BCI-gal/1 mL of iron buffer solution was prepared. Each of the solutions, 1×, 2×, and 4× were spotted on an Osmonics positively charged nylon membrane using a micropipette to place 10 μL drops and the film was allowed to air dry at room temperature for 30 minutes. Next 10 μL drops of β-galactosidase (supplied at 590 units/mL by (Sigma-Aldrich) in concentrations of 5.9, 0.59, 0.059, and 0.0059 units/spot or 0.5, 0.05, 0.005, 0.0005 mg/spot. The time needed for development of color was recorded in seconds. The results are shown in Table 2. TABLE 2 Time to color development for BCI-gal/iron β-galactosidase buffer concentration Run concentration 1× 2× 4× Number (mg/spot) (units/spot) (seconds) (seconds) (seconds) 1 0.5 5.9 10 10  7 2 0.05 0.59 30 30 17 3 0.005 0.059 43 37 25 4 0.0005 0.0059 >120 >120 120 (faint)

Example 5

A solution of esculin (1 mg/mL)/FeCl₃ (1 mg/mL) was spotted on the rough side of Biodyne B film using a micropipette to place 5 μL drops and the film was allowed to air dry at room temperature for 30 minutes. Next 5 μL drops of β-glucosidase concentrations of 625, 312.5, 156.25, 78.125, and 39.0625 were placed on the esculin/FeCl₃ spots and the time needed for development of color was recorded. esculin worked well with pure enzyme systems. The results are shown in Table 3. TABLE 3 β-glucosidase Time for development of Run (units/mL) color (seconds) 1 625.0000 5 2 312.5000 5 3 156.2500 10 4 78.1250 20 5 39.0625 20

Example 6

Test tubes were filled with 100 μL a solution of esculin (1 mg/mL)/FeCl₃ (1 mg/mL). Next 100 μL of β-glucosidase at concentrations of 5, 0.5, 0.25, 0.125, 0.0625, 0.05, 0.025, and 0.0025 units/mL were dropped into the test tubes containing the esculin/FeCl₃ solutions and the time necessary for development of color change from green to black was recorded. The results are shown in Table 4. TABLE 4 β-glucosidase Time for development of Run (units/mL) color (seconds) 1 5 instant 2 0.5 10 3 0.25 30 4 0.125 60 5 0.0625 120 6 0.05 150 7 0.025 300 8 0.0025 600 Control Pure water No change

Example 7

A solution of esculin (1 mg/mL)/FeCl₃ (1 mg/mL) was spotted on the rough side of Biodyne B film using a micropipette to place 5 μL drops and the film was allowed to air dry at room temperature for 30 minutes. Clinical endoscope soil samples (patient soil) were collected by flushing 10 mL of phosphate buffered saline through the biopsy lumen of a colon scope following a colonoscopy procedure at Mayo Clinic in Rochester, Minn. Then 100 μL of the clinical endoscope soil samples was placed on the esculin/FeCl₃ spots and the time necessary for development of color was recorded. Color development took longer than 10 minutes.

Example 8

Four samples of a Metricel SB-6407 membrane were spotted using a micropipette to place 10 μL of BCIP/NBT solution per spot. The spots were allowed to air dry at room temperature. One spotted membrane was respotted with 10 μL alkaline phosphatase (Sigma-Aldrich) solution (500 μg/mL alkaline phosphatase in distilled water) per spot. Two of the BCIP/NBT spotted membranes were respotted with 10 μL (per spot) of fluid samples obtained from a used gastrointestinal endoscope prior to manual cleaning and after manual cleaning respectively. The fourth BCIP/NBT spotted membrane was respotted with 10 μL distilled water per spot.

A blue-purple color due to product of the reaction of enzyme and indicator appeared within 2 minutes of addition of enzyme in both the pure sample and the pre-cleaning sample. The post-cleaning sample did not exhibit a visible calorimetric response within 2 minutes, nor did the spots treated with distilled water alone. The results are shown in Table 5. TABLE 5 Color Change within 2 minutes of addition of Run Treatment enzyme 1 Alkaline phosphatase solution Colorless to blue-purple color 2 Samples from used Colorless to blue-purple color gastrointestinal endoscope prior to manual cleaning 3 Samples from used No color change gastrointestinal endoscope after manual cleaning 4 Distilled water No color change

Example 9

A HDPE TIPS membrane was made according to the process described in U.S. Pat. No. 4,539,256 (Example 23) except instead of extruding into a water quench bath, the extruded membrane was taken onto a chilled patterned casting wheel as described in U.S. Pat. No. 5,120,594.

Several HDPE TIPS membranes were fastened to a metal frame, coated by pouring a 2.5% EVOH in 60:40 IPA:water solution and spreading using a rubber spreader to smooth and remove excess. Coated membranes were allowed to dry at room temperature overnight. Six samples were coated by pouring 5:1, 2:1 and 1:1 solutions of poly(diallyldimethylammonium) chloride (PDAMAC) (<100,000 MW supplied in 40 wt % water) in deionized water and 5:1, 2:1 and 1:1 solutions of poly(diallyldimethylammonium) chloride (100,000-200,000 MW supplied in 20 wt % water) in deionized water and allowed to air dry at ambient temperature. The EVOH- and PDAMAC-coated membranes were spotted with 10 μL BCIP/NBT solution per spot as in Example 1 and allowed to dry. These spots then were respotted with 10 μL alkaline phosphatase (Sigma-Aldrich) solution per spot at a concentration of 500 μg/mL in distilled water.

A blue-purple calorimetric response was visible within 2 minutes on the PDAMAC-coated samples, but not on the samples coated with EVOH alone. On both of the PDAMAC-coated samples, the rate of the response was 5:1>2:1>1:1. The results are shown in Table 6. TABLE 6 Color Time Run Coating Treatment Change (minutes) 1 2.5% EVOH in 60 Alkaline No change 2 IPA:40 water phosphatase 2 5:1 EVOH:PDAMAC Alkaline Colorless to 2 (<100K MW) phosphatase blue-purple 3 2:1 EVOH:PDAMAC Alkaline Colorless to 2 (<100K MW) phosphatase blue-purple 4 1:1 EVOH:PDAMAC Alkaline Colorless to 2 (<100K MW) phosphatase blue-purple 5 5:1 EVOH:PDAMAC Alkaline Colorless to 2 (100-200K MW) phosphatase blue-purple 6 2:1 EVOH:PDAMAC Alkaline Colorless to 2 (100-200K MW) phosphatase blue-purple 7 1:1 EVOH:PDAMAC Alkaline Colorless to 2 (100-200K MW) phosphatase blue-purple

Example 10

Using a micropipette approximately 5 microliters of BCIP/NBT solution per spot was placed onto Silica Gel Glass Backed TLC Plates (2.54 cm×7.62 cm). The spots were dried using warm air supplied by a Model #HG-751 heat gun (Master Appliance Corp., Racine, Wis.). One of the spotted glass plates was used as a control and was not placed in a water bath. The other spotted glass plates (test plates) were placed into a water bath (25° C.) for 2 minutes, removed, and dried again using the heat gun. Next 5 microliters of alkaline phosphatase (Sigma-Aldrich) solution (25 mg phosphatase/mL water) was placed on the indicator spots on the test plates and the control plate. For all enzyme indicator combinations, a purple color due to reacted indicator was noticeable within two minutes. Subsequently, for all colored spots on both control plate and test plates, the color was not washed away when they were placed into a water bath (25° C.). The results of this experiment indicated that spotted enzyme indicator remained bound to silica even after being washed with water and that it reacted with enzyme in its bound state. Additionally, the experiment demonstrated that reacted enzyme indicator remains bound to silica in the presence of water.

Example 11

Metricel SB-6407 membrane (comprising quaternary ammonium groups, available from Pall) was spotted as in Example 1 with BCIP/NBT, rinsed with flowing tap water, dried, and allowed to react with alkaline phosphatase (Sigma-Aldrich). A blue-purple color due to product of the reaction of enzyme and indicator appeared within 2 minutes of addition of enzyme and could not be washed away with water.

Comparative Example A

A TexWipe swab (Item # TX712A from Texwipe Co, Inc., Upper Saddle River, N.J.) was treated in the same manner as the Metricel membrane in Example 11. When the swab was washed with water as in Example 11, the indicator was washed away from the swab. Additionally, color resulting from reaction of indicator and enzyme on the TexWipe swabs was readily washed away when rinsed with flowing tap water.

Comparative Example B

A support consisting of an uncoated PP TIPS membrane was prepared by the following steps: securing the membrane in a hoop to avoid shrinkage during the drying step; loading membrane with 2 mL of X-glc solution at a concentration of 0.0003 g/mL in DMF; and drying the membrane for 20 min at 58° C. The membrane was then tested for a calorimetric response by placing spots of 10 μl pure β-glucosidase solution at a concentration 100 units/mL on the loaded membrane using a micropipette and recording the time necessary for development of color. The aqueous enzyme solution did not wet the membrane when it was spotted onto the surface. No response was observed.

Example 12

A HDPE TIPS membrane was coated by dispensing and evenly spreading approximately 1 mL of EVAL solution (2.8% (w/w) EVAL in 60:40 isopropyl alcohol:water) using a plastic pipette. The coated membrane was further prepared by the following steps: securing the membrane in a 10.08 cm in diameter hoop to avoid shrinkage during the drying step; loading membrane with 2 mL of X-glc solution at a concentration of 0.15 g/mL; and drying the membrane for 20 min at 58° C. in an incubator (Precision Mechanical Convection Incubator from GCA Corporation, Andover, Mass.).

The membrane was then tested at room temperature for colorimetric response by using a micropipette to place 10 μL of β-glucosidase solution in spots at concentrations of 100, 50, 25, 12.5, 6.3 and 3.1 units/mL in reagent-grade water on the loaded membrane and recording the time necessary for development of the color. In Run 6, when the color did not develop after 50 minutes at room temperature, the membrane including Runs 1-6 was heated to 58° C. in an incubator for 10 minutes. Then the membrane was removed from the incubator and allowed to cool to room temperature. The color continued to develop in the examples overnight at room temperature. Results are shown in Table 7. TABLE 7 β-glucosidase dilutions Run Number (units/mL) Time (minutes) 1 100  1.5 2 50  2 3 25  2.5 4 12.5  5.0 5 6.3  6.0 6 3.1 10¹ ¹After 50 minutes at room temperature and 10 minutes at 58° C. in an incubator.

Example 13

A rayon/PP nonwoven support was prepared by the following steps: securing the nonwoven in a hoop to avoid shrinkage during the drying step; loading the nonwoven support with 2.5 mL of X-glc solution at a concentration of 0.15 g/mL in DMF; and drying the membrane for 20 min at 58° C. The X-glc loaded nonwoven support was then tested at room temperature for calorimetric response by using a micropipette to place 10 μL of β-glucosidase solution in spots at concentrations of 100, 50, 25, 12.5, 6.3 and 3.1 units/mL in reagent-grade water on the loaded support and recording the time necessary for development of the color. In Run 6, when the color did not develop after 21 minutes at room temperature, the membrane including Runs 1-6 was heated to 58° C. in an incubator for 10 minutes. Then the membrane was removed from the incubator and allowed to cool to room temperature. Color continued to develop overnight. The contrast between the colorimetric response and the textured background made the detection of color more obvious sooner than on the TIPS membrane support in Example 12. Results are shown in Table 8. TABLE 8 β-glucosidase dilutions Run Number (units/mL) Time (minutes) 1 100  1.0 2 50  1.5 3 25  2.0 4 12.5  3.0 5 6.3  4.0 6 3.1 10¹ ¹After 21 minutes at room temperature and 10 minutes at 58° C. in an incubator.

Example 14

A HDPE TIPS membrane support was prepared by the following steps: securing the membrane in a hoop to avoid shrinkage during the drying step; spotting the membrane with EVAL solution at 2.8% (w/w) EVAL in 60:40 isopropyl alcohol: water using a plastic pipette (SAMCO Transfer Pipettes, San Fernando, Calif.); air drying the spotted membrane overnight at 25° C.; loading the spots on membrane with 2 mL of X-glc chemistry at a concentration of 0.22 g/mL in DMF; and drying the spotted membrane for 20 min at 58° C. The membrane was wettable by the aqueous enzyme solutions only where EVAL was spotted onto the surface.

The membrane was then tested for colorimetric response by using a micropipette to place 10 μL of β-glucosidase solution onto the EVAL/X-glc spots at concentrations of 100, 50, 25, 12.5, 6.3 and 3.1 units/mL in reagent-grade water on the loaded membrane and recording the time necessary for development of color. Color continued to develop overnight. The colors were more vibrant than with the EVAL-coated HDPE (Example 12) because the sample was confined to a specific area, but the response did not develop any faster. Results are shown in Table 9. TABLE 9 β-glucosidase dilutions Run Number (units/mL) Time (minutes) 1 100 1.5 2 50 3.0 3 25 4.0 4 12.5 5.5 5 6.3 7.0 6 3.1 12.0

Example 15

A HDPE TIPS membrane support was prepared by the following steps: securing the membrane in a hoop to avoid shrinkage during the drying step; spotting the membrane with EVAL solution at 2.8% (w/w) EVAL in 60:40 isopropyl alcohol: water using a plastic pipette; drying the spotted membrane overnight at 25° C.; loading some of the hydrophilic spots on membrane with 25 μL of X-glc at a concentration of 0.15 g/mL in DMF or with 25 μL of X-gal (Biosynth AG, Inc.) at a concentration of 0.15 g/mL in DMF; drying the spotted membrane for 5 min at 58° C.; loading other hydrophilic spots on the membrane with 25 μL of Coomassie Plus™ Protein Assay Reagent; and drying for 20 minutes at 58° C.

The spotted membrane was then tested for calorimetric response by using a micropipette to place 20 μL of β-glucosidase (Sigma-Aldrich) in reagent-grade water or 20 μL of β-galactosidase (Worthington Biochemical Corp.) in reagent-grade water onto the EVAL/X-glc or EVAL/X-gal spots, respectively, with a concentration of 100 units/mL, and recording the time necessary for development of color.

Additionally Pseudomonas aeruginosa MBL 0484 from Microbiologics was grown overnight (16 hours) at 37° C. in tryptic soy broth (Becton Dickinson and Company, Sparks, Md.) and was used to test the spotted membrane for a calorimetric response. A micropipette was used to place 20 μL of serial 1:10 dilutions of Pseudomonas aeruginosa (10⁸ CFU/mL) in calf serum on each type of indicator-loaded hydrophilic spot.

The enzyme, β-glucosidase in reagent-grade water, produced a response within 1.5 minutes for the X-glc chemistry. While the enzyme, β-galactosidase in reagent-grade water produced a blue response within 1 minute for the X-gal chemistry. The Coomassie chemistry produced a response within 20 seconds for every dilution of Pseudomonas aeruginosa culture. The 10⁸ CFU/mL Pseudomonas aeruginosa culture did not produce a response for the X-gal or X-glc chemistries.

Example 16

A HDPE TIPS membrane support was prepared by the following steps: securing the membrane in a hoop to avoid shrinkage during the drying step; spotting the membrane with EVAL solution at 2.8% (w/w) EVAL in 60:40 isopropyl alcohol: water using a plastic pipette; drying the spotted membrane overnight at 25° C.; loading six hydrophilic spots on membrane with 20 μL of a combination of X-glc, X-gal (Biosynth AG, Inc.), and X-phos-p-tol chemistries at a concentration of 0.07 g/mL of each in DMF; loading another six hydrophilic spots on the membrane with 20 μl of a combination of Magenta™-glc, Magenta™-gal, and Magenta™-phos-p-tol chemistries at a concentration of 0.06 g/mL of each in DMF; and drying for 20 minutes at 58° C.

The membrane was then tested for calorimetric response by using a micropipette to place 20 μL of β-glucosidase (Sigma-Aldrich) in reagent-grade water (100 units/mL), 20 μL of β-galactosidase (Worthington Biochemical Corp.) in reagent-grade water (100 units/mL), and 20 μL of calf serum, 20 μL clinical endoscope soil samples (Mayo Clinic, Rochester, Minn.) for each type of coated hydrophilic spot on the loaded membrane and recording the time necessary for development of color. Clinical endoscope soil samples (patient soil) were collected by flushing 10 mL of phosphate buffered saline through the biopsy lumen of a colonscope following colonoscopy procedure and following the cleaning procedure for the scope.

The β-glucosidase reacted within 1 minute on the Magenta™ combination and within 2 minutes on the X-chemistries combination. β-galactosidase reacted within 2 minutes for each of the X-chemistry combinations and Magenta™ chemistry combinations. The calf serum did not react within 10 minutes. The PB78 clinical sample from Mayo reacted within 4 minutes for the Magenta™-glc, Magenta™-gal, or Magenta™-phos-p-tol chemistry combination and within 6 minutes for the X-glc, X-gal, or X-phos-p-tol chemistry combination.

Example 17

A HDPE TIPS membrane support was placed in a hoop, spotted with EVAL solution and allowed to dry as described in Example 15. The spotted membrane was subsequently coated with a 1.5 mL of 1:1000 of co-saccharinamidoundecyltrichlorosilane in hexadecane, allowed to react for 20 minutes, washed with MEK and allowed to air dry three times. After drying, the hydrophilic spots on the treated membrane were spotted with 20 μL of a combination of X-glc, X-gal (Biosynth AG, Inc.), and X-phos-p-tol chemistries in DMF at a concentration of 0.2 g total substrate/mL (0.07 g X-chemistry/mL for each chemistry) and allowed to react for approximately 20 minutes. A PBS Buffer, pH 7.4 was prepared by combining 0.14 M NaCl (EM Science, Gibbstown, N.J.) 0.006 M K₂HPO₄ (Sigma-Aldrich) and 0.02 M KH₂PO₄ (Sigma-Aldrich). The treated membrane was washed twice with the PBS Buffer and with 1% Tween™ 80 and allowed to air dry.

The hydrophilic spots on the membrane were then tested for colorimetric response with 20 μL of β-glucosidase (Sigma-Aldrich), β-galactosidase (Worthington Biochemical Corp.), calf serum, and clinical endoscope soil samples prepared as in Example 16 and the time needed for development of color was recorded. The time needed to develop a color was not within a 2-minute time interval, but color did develop within two hours for β-glucosidase, β-galactosidase, and one soiled endoscope sample with the combination of X-gal, X-glc, and X-phos.

Example 18

A HDPE TIPS membrane support was prepared by securing the membrane in hoop to avoid shrinkage during the drying step, coating the membrane with EVAL as described in Example 12, loading the coated membrane with 2 mL of 4-MU-β-D-glc chemistry at a concentration of 0.0003 g/mL, and drying for 20 min at 58° C.

The membrane was then tested for fluorescent response by spotting the loaded membrane with 10 μL of pure β-glucosidase (Sigma-Aldrich) solution and at 50, 25, 12.5, 6.3, and 3.1 units/mL dilutions in reagent grade water, exposing the membrane to UV light (365 nm) until a fluorescent response developed and recording the time. The results are shown in Table 10. TABLE 10 β-glucosidase dilutions Run Number (units/mL) Time (seconds) 1 100 instant 2 50 20 3 25 30 4 12.5 30 5 6.3 45 6 3.1 85

Example 19

A rayon/PP nonwoven support was prepared by securing the nonwoven in a hoop to avoid shrinkage during the drying step, coating the nonwoven with 3 mL of 4-MU-β-D-glc chemistry at a concentration of 0.0003 g/mL in DMF, and drying for 20 min at 58° C. The membrane was then tested for fluorescent response by spotting the loaded membrane with 10 μL of pure β-glucosidase (Sigma-Aldrich) solution and at 50, 25, 12.5, 6.3, and 3.1 units/mL dilutions in reagent grade water, exposing the membrane to UV light (365 nm) until a fluorescent response developed and recording the time. The results are shown in Table 11. TABLE 11 Run β-glucosidase dilutions Time Number (units/mL) (seconds) 1 100 instant 2 50 20 3 25 30 4 12.5 30 5 6.3 60 6 3.1 90

Example 20

A HDPE TIPS membrane support was placed in a hoop, coated with EVAL solution as described in Example 18 subsequently coated with 1.5 mL of 1:1000 ω-saccharinamidoundecyltrichlorosilane in hexadecane, allowed to react for 20 minutes, washed with MEK and allowed to air dry three times. After drying, the treated membrane was coated with 20 μL of a solution of 4-MU-β-D-glc chemistry at a concentration of 0.0003 g/mL in DMF, washed twice with the PBS Buffer, pH 7.4, prepared as described in Example 17 and with 1% Tween™ 80 and allowed to air dry.

The coated membrane was then tested for fluorescent response by placing 10 μL of β-glucosidase (Sigma-Aldrich) in spots using a micropipette on the membrane, exposing the membrane to UV light (365 nm) until a fluorescent response developed and recording the time. The fluorescence response for enzyme solution at 100 units/mL was instantaneous.

Example 21

A GHP-450 membrane support was prepared by securing the membrane in a hoop to avoid shrinkage during the drying step, coating the membrane with 3 mL of 4-MU-β-D-glc chemistry at a concentration of 0.0003 g/mL in DMF, and drying for 20 min at 58° C. The membrane was then tested for fluorescent response by spotting the loaded membrane with 10 μL of pure β-glucosidase (Sigma-Aldrich) solution and at 50, 25, 12.5, 6.3, and 3.1 units/mL dilutions in reagent grade water, exposing the membrane to UV light (365 nm) until a fluorescent response developed and recording the time. The results are shown in Table 12. TABLE 12 Run β-glucosidase dilutions Time Number (units/mL) (seconds) 1 100 instant 2 50 instant 3 25 instant 4 12.5 60 5 6.3 90 6 3.1 120 

Example 22

A HDPE TIPS membrane support was prepared by securing the membrane in a hoop to avoid shrinkage during the drying step, coating the membrane with EVAL as described in Example 12, subsequently coating with 2 mL of OPA solution at a concentration of 0.8 mg/mL, and drying for 30 min at 58° C. The membrane was then tested for fluorescent response by spotting the loaded membrane with 10 μL of BSA solution at 2, 1, 0.5, 0.25, 0.13 and 0.06 mg/mL in reagent grade water, exposing the membrane to UV light (365 nm) until a fluorescent response developed and recording the time. The results are shown in Table 13. TABLE 13 Run BSA dilutions Time Number (mg/mL) (minutes) 1 2  1 2 1   1.5 3 0.5   3.5 4 0.25  5 5 0.13 >10¹ 6 0.06 >10¹ ¹No response was observed within 10 minutes.

Example 23

A rayon/PP nonwoven support was prepared by securing the nonwoven in a hoop to avoid shrinkage during the drying step, loading the membrane with 3 mL of OPA solution at a concentration of 0.8 mg/mL, and drying for 30 min at 58° C. The nonwoven support was then tested for fluorescent response by spotting the loaded membrane using a micropipette with 10 μL of BSA solution at 2, 1, 0.5, 0.25, 0.13 and 0.06 mg/mL in reagent-grade water, exposing the membrane to UV light (365 nm) until a fluorescent response developed and recording the time. The results are shown in Table 14. TABLE 14 Run BSA dilutions Time Number (mg/mL) (minutes) 1 2  1 2 1   2.5 3 0.5 >10¹ 4 0.25 >10¹ 5 0.13 >10¹ 6 0.06 >10¹ ¹No response was observed within 10 minutes.

Example 24

Two solutions were prepared by first dissolving 25 mg of 5-bromo-6-chloro-3-indolyl phosphate, disodium salt in 10 mL of deionized water and then dissolving 50 mg of NBT was dissolved in 10 mL of deionized water. Next four 10 mL TRIS buffer solutions (A, B, C, D) were prepared as described in Example 2. To Buffer Solution A, 250 mg of MnCl₂ was added. To Buffer solution B, 250 mg of MgCl₂ was added. To Buffer solution C, 250 mg of MgCl₂ and 250 mg of MnCl₂ were added. Buffer solution D had no metal salt additions. Four 5-bromo-6-chloro-3-indolyl phosphate, disodium salt/NBT/Buffer solutions were prepared by combining 400 μL of 5-bromo-6-chloro-3-indolyl phosphate, disodium salt/water solution, 100 μL NBT/water solution, and 500 μL of Buffer solution A, B, C, or D. The resulting four indicator solutions were labeled indicator solution 1, 2, 3, and 4 respectively. Five microliters of each of the four solutions was placed in spots on a Biodyne B film using a micropipette. The spots were allowed to air dry for 30 minutes at room temperature. Each spot was respotted with 5 microliters of alkaline phosphatase (Calbiochem) at a concentration of 1.79 units/mL. The time needed to develop color, the initial indicator spot color on the film, and the color of the indicator spot after ageing at ambient temperature and light conditions for 1 day and for 1 week were recorded.

The samples containing MnCl₂ and MgCl₂ showed shortened times for color development with the alkaline phosphatase enzyme. Samples with MgCl₂ alone resulted in a spotty color that aged in the same manner as Indicator Solution 4 (containing neither MnCl₂ nor MgCl₂). The yellow color of manganese salt-containing spots gave a good contrast between the unreacted indicator and that of the brown-black color of the reacted indicator. Results are shown in Table 15. TABLE 15 Indicator Initial Indicator Indicator Solution Time to develop indicator spot color spot color Number color (seconds) spot color after 1 day after 1 week 1 40 Yellow Yellow Yellow 2 17 Colorless Purple Purple 3 30 Yellow Yellow Yellow 4 110 Colorless Purple Purple

Example 25

A HDPE TIPS membrane support was placed in a hoop, spotted with EVAL solution and allowed to dry as described in Example 15. Then each hydrophilic spot on the membrane was loaded with 10 μL of X-gal solution prepared by combining 200 μL of X-gal (Kirkegaard & Perry Laboratories, Inc.) with 1 mL iron buffer; 10 μL BCIP/NBT (3-Part Phosphatase Substrate System from Kirkegaard & Perry Laboratories, Inc.) prepared by combining 4 mL of BCIP, 1 mL of NBT, and 5 mL of TRIS buffer; 10 μL of 4-MU-β-D-gal prepared by combining 0.3 g/L of water and autoclaving for 15 minutes at 121° C.; 10 μL of 4-MU-P-D-glc prepared by combining 0.3 g/L of water and autoclaving for 15 minutes at 121° C.; or 10 μL of 4-MU-phos prepared by dissolving 0.03 g in 100 microliters DMF and diluting with 100 mL of water. The solutions were placed on the membrane using a micropipette and allowed to air dry at room temperature.

The membrane was then tested for colorimetric response by using a micropipette to place 10 μL of β-galactosidase (Sigma) in reagent-grade water at concentrations of 188, 18.8, 9.4, and 1.88 units/mL, 10 μL of β-glucosidase (Worthington Biochemical Corp.) in reagent-grade water at concentrations 50, 5, 2.5 an 0.5 units/mL, or 10 μL alkaline phosphatase (Calbiochem) in reagent-grade water at concentrations of 3582, 358, 35.8, 3.58, 0.358 units/mL for each type of coated hydrophilic spot on the loaded membrane and recording the time necessary for development of color. The results are shown in Table 16. TABLE 16 Enzyme Time to concen- develop Run Indicator tration color Number Chemistry Enzyme tested (units/mL) (seconds)  1 BCIP/NBT alkaline 358 10 phosphatase  2 BCIP/NBT alkaline 35.8 20 phosphatase  3 BCIP/NBT alkaline 3.58 30 phosphatase  4 BCIP/NBT alkaline 0.358 90 phosphatase Control A BCIP/NBT water 0 No Change  5 X-gal β-galactosidase 188 45  6 X-gal β-galactosidase 18.8 60  7 X-gal β-galactosidase 9.4 105  8 X-gal β-galactosidase 1.88 180  9 MU-gal β-galactosidase 188 instant 10 MU-gal β-galactosidase 18.8 10 11 MU-gal β-galactosidase 9.4 15 12 MU-gal β-galactosidase 1.88 30 13 4-MU-β-D-glc β-galactosidase 50 instant 14 4-MU-β-D-glc β-galactosidase 5 5 15 4-MU-β-D-glc β-galactosidase 2.5 5 16 4-MU-β-D-glc β-galactosidase 0.5 10 17 MU-phos alkaline 3582 instant phosphatase 18 MU-phos alkaline 358 10 phosphatase 19 MU-phos alkaline 35.8 15 phosphatase 20 MU-phos alkaline 3.58 60 phosphatase 21 MU-phos alkaline 0.358 105 phosphatase Control B MU-phos water 0 No Change

Example 26

A HDPE TIPS membrane support was prepared by securing the membrane in a hoop to avoid shrinkage during the drying step, coating the membrane with EVAL as described in Example 12, subsequently placing 6 drops of 10 μL BCIP/NBT (3-Part Phosphatase Substrate System from Kirkegaard & Perry Laboratories, Inc.) prepared by combining 4 mL of BCIP, 1 mL of NBT, and 5 mL of TRIS buffer in spots using a micro pipette and allowing to air dry at room temperature.

The membrane was then tested for colorimetric response by using a micropipette to place 10 μL of alkaline phosphatase (Calbiochem) in reagent-grade water at concentrations of 3582, 358, 35.8, 3.58, 0.358 units/mL on the 5 spots of BCIP/NBT. The sixth BCIP/NBT spot was tested in the same manner with 10 μL of water. The time necessary for development of color was recorded. The results are shown in Table 17 TABLE 17 Enzyme concentration Time to develop Run Number Enzyme tested (units/mL) color (seconds) 1 alkaline phosphatase 3582  5 2 alkaline phosphatase 358 15 3 alkaline phosphatase 35.8 25 4 alkaline phosphatase 3.58 30 5 alkaline phosphatase 0.358 70 6 Water (no enzyme) 0 No Change

Example 27

By first dissolving 5 mg of 5-bromo-6-chloro-3-indolyl phosphate, disodium salt in 10 mL deionized water and then dissolving 50 mg of NBT in 10 mL deionized water, two solutions were prepared. Next a 10 mL TRIS buffer solution was prepared as described in Example 2 and 100 mg of MnCl₂ and 100 mg of MgCl2 were added. Then, 300 microliters of the 5-bromo-6-chloro-3-indolyl phosphate solution and 300 microliters of the NBT solution were combined with 400 microliters of the TRIS buffer solution containing MgCl₂ and MnCl₂. Five microliters of the indicator solution was used to place thirty spots (1 mm diameter and 1 mm apart) onto a piece of a Biodyne B film (1 cm×3 cm) using a micropipette. A polyethylene tube simulating the inside of the biopsy channel of an endoscope was filled with 2 mL of contents flushed from a patient soiled endoscope and then emptied. Within 10 seconds the spotted Biodyne B film was pushed through the lumen of the soiled polyethylene tube. A colorimetric reaction occurred within 20 seconds, thus indicating the presence of alkaline phosphatase in the polyethylene lumen that had been soiled with the patient soiled endoscope contents.

Example 28

Several 70% rayon/30% polyester nonwoven supports were treated with three amine-containing silanes: (N-trimethoxysilylpropyl) polyethyleneimine, 3-aminopropyltriethoxysilane, and N-trimethoxysilylpropyl-N,N,N-trimethylammonium chloride; and a wetting agent, 3-glycidoxypropyltrimethoxysilane (GPS) by dip coating. First a slightly acidic solution of 95 percent water/5 percent ethanol was prepared by adding sulfuric acid drop wise to obtain pH=4. GPS and each aminosilane were added to the acidic solution in a ratio May 5, 1990, respectively. After the nonwoven was dipped in one of the aminosilane solutions, it was dipped into two sequential ethanol baths and heat cured at 70° C. for 1½ to 2 hours in an oven (Commercially available as Model LFD1-42-3 from Despatch, Lakeville, Minn.). For comparison to the amine-containing nonwovens, one sample of the nonwoven was left untreated and one sample was only treated with GPS (no amine groups present).

A micropipette was used to place several 5-microliter spots of NBT/BCIP 1-Step™ Solution onto each of the three aminosilane-treated samples, the untreated sample and the GPS-treated sample. These spots were allowed to air dry at room temperature for at least 30 minutes. Next, 5 microliters of alkaline phosphatase (Calbiochem) at concentrations of 3.5, 1.75, 0.35, and 0.175 units/mL were placed onto the dried spots of NBT/BCIP on the nonwoven support using a micropipette. For comparison, 5 microliters of sterile, ultrapure water (0 units/mL of the enzyme) were also placed on additional dried spots of NBT/BCIP using a micropipette. The time needed for the first appearance of color was recorded and the results are shown in Table 18.

To determine if the background color of the unreacted NBT/BCIP 1-Step™ Solution changed over time, some of the unreacted dried spots of NBT/BCIP on the nonwoven support were observed for the initial color and the color change after 1 day. These observations are shown in Table 19. TABLE 18 Enzyme- Time to alkaline develop Run phosphatase color Number Treated with Aminosilanes and GPS (units/mL) (seconds) 1 None (Untreated) 0 (Water No only) Change¹ 2 None (Untreated) 0.175 150  3 None (Untreated) 0.350 90 4 None (Untreated) 1.75 55 5 None (Untreated) 3.50 30 6 (N-trimethoxysilylpropyl) 0 (Water No polyethyleneimine only) Change¹ 7 (N-trimethoxysilylpropyl) 0.175 45 polyethyleneimine 8 (N-trimethoxysilylpropyl) 0.350 41 polyethyleneimine 9 (N-trimethoxysilylpropyl) 1.75  30² polyethyleneimine 10 (N-trimethoxysilylpropyl) 3.50  20² polyethyleneimine 11 3-aminopropyltriethoxysilane 0 (Water No only) Change¹ 12 3-aminopropyltriethoxysilane 1.75   6³ 13 3-aminopropyltriethoxysilane 3.50   7³ 14 N-trimethoxysilylpropyl-N,N,N- 0 (Water No trimethylammonium chloride only) Change¹ 15 N-trimethoxysilylpropyl-N,N,N- 0.175 35 trimethylammonium chloride 16 N-trimethoxysilylpropyl-N,N,N- 0.350 25 trimethylammonium chloride 17 N-trimethoxysilylpropyl-N,N,N- 1.75  13³ trimethylammonium chloride 18 N-trimethoxysilylpropyl-N,N,N- 3.50  13³ trimethylammonium chloride 19 GPS only 0 (Water No only) Change¹ 20 GPS only 1.75  8 21 GPS only 3.50  9 ¹No change within 10 minutes ²Colors darken overnight ³Colors stable after 1 week.

TABLE 19 Color of Observation Initial Indicator Run Treated with Indicator Spot Number Aminosilanes and GPS Spot Color after 1 day 22 Untreated Colorless Faint purple 23 N-trimethoxysilylpropyl-N,N,N- Colorless Faint purple trimethylammonium chloride 24 (N-trimethoxysilylpropyl) Colorless Purple polyethyleneimine

Example 29

Several 70% rayon/30% polyester nonwoven supports were treated with one of three amine-containing silanes: (N-trimethoxysilylpropyl) polyethyleneimine, 3-aminopropyltriethoxysilane, and N-trimethoxysilylpropyl-N,N,N-trimethylammonium chloride; and a wetting agent, 3-glycidoxypropyltrimethoxysilane (GPS) as described for Example 28. Additionally, one sample of the nonwoven was left untreated. Three solutions, labeled solution A, solution B, and solution C, were prepared in a similar manner to the solutions described in Examples 3 and 24. Solution A was prepared by combining 25 mg of BCIP with 10 mL deionized water. Solution B was prepared by dissolving 15 mg NBT in 10 mL deionized water. Solution C was prepared by combining 250 mg each MnCl₂ and MgCl₂ and dissolving in 10 mL of TRIS buffer (pH=8.9). The TRIS buffer was prepared according to the description for Example 2. The indicator solution was prepared by combining 400 microliters of solution A, 100 microliters of solution B, and 500 microliters of solution C, yielding a ratio of 4:1:5 BCIP:NBT:TRIS buffer with MnCl₂ and MgCl₂ salts. A micropipette was used to place several 5-microliter drops of the 4:1:5 indicator solution in a spotted pattern onto each of the three aminosilane treated samples and an untreated sample. These spots were allowed to air dry at room temperature for at least 30 minutes. Next, 5 microliters of alkaline phosphatase (Calbiochem) at concentrations of 1.00, 0.50, 0.10, 0.05, and 0.01 units/mL were placed onto the dried spots of indicator solution using a micropipette. For comparison, 5 microliters of deionized water (0 units/mL of the enzyme) were also placed on additional dried spots of indicator solution using a micropipette. The time needed for the first appearance of the characteristic purple-black color was recorded and the results are shown in Table 20.

To determine if the background color of the unreacted 4:1:5 BCIP:NBT:TRIS buffer and MnCl₂ and MgCl₂ salts changed over time, some of the unreacted dried spots on the nonwoven support were observed for the initial color and the color change after 1 day (dry). Additionally to determine the stability of the indicator color, both reacted and unreacted dried samples were immersed in water for 1 day (wet) and for 1 week (wet) and observed for color change. Samples treated with (N-trimethoxysilylpropyl) polyethyleneimine and N-trimethoxysilylpropyl-N,N,N-trimethylammonium chloride showed a stable color using the BCIP/NBT/TRIS solution before and after reaction with the enzyme. Results are shown in Table 21. TABLE 20 Enzyme- Time to alkaline develop Run phosphatase color Number Treated with Aminosilanes and GPS (units/mL) (seconds) 1 None (Untreated) 0 (Water No only) Change¹ 2 None (Untreated) 0.01 No Change¹ 3 None (Untreated) 0.05 No Change¹ 4 None (Untreated) 0.10 240  5 None (Untreated) 0.50 110  6 None (Untreated) 1.00 90 6 (N-trimethoxysilylpropyl) 0 (Water No polyethyleneimine only) Change¹ 7 (N-trimethoxysilylpropyl) 0.01 No polyethyleneimine Change¹ 8 (N-trimethoxysilylpropyl) 0.05 240  polyethyleneimine 9 (N-trimethoxysilylpropyl) 0.10 80 polyethyleneimine 10 (N-trimethoxysilylpropyl) 0.50 25 polyethyleneimine 11 (N-trimethoxysilylpropyl) 1.00 10 polyethyleneimine 12 3-aminopropyltriethoxysilane 0 (Water No only) Change¹ 13 3-aminopropyltriethoxysilane 0.01 No Change¹ 14 3-aminopropyltriethoxysilane 0.05 No Change¹ 15 3-aminopropyltriethoxysilane 0.10 90 16 3-aminopropyltriethoxysilane 0.50 45 17 3-aminopropyltriethoxysilane 1.00 25 18 N-trimethoxysilylpropyl-N,N,N- 0 (Water No trimethylammonium chloride only) Change¹ 19 N-trimethoxysilylpropyl-N,N,N- 0.01 No trimethylammonium chloride Change¹ 20 N-trimethoxysilylpropyl-N,N,N- 0.05 240  trimethylammonium chloride 21 N-trimethoxysilylpropyl-N,N,N- 0.10 90 trimethylammonium chloride 22 N-trimethoxysilylpropyl-N,N,N- 0.50 30 trimethylammonium chloride 23 N-trimethoxysilylpropyl-N,N,N- 1.00 16 trimethylammonium chloride ¹No change within 10 minutes

TABLE 21 Color of Color of Color of Indicator Observation Initial Indicator Indicator Spot after Run Treated with Indicator Spot after Spot after 1 week Number Aminosilanes and GPS Spot Color 1 day 1 day (wet) (wet) 24 Untreated Yellow Yellow Yellow Colorless 25 N- Yellow Yellow Yellow Yellow trimethoxysilylpropyl- N,N,N- trimethylammonium chloride 26 (N- Yellow Yellow Yellow Yellow trimethoxysilylpropyl) polyethyleneimine 27 None (Untreated) Purple Purple Light Very faint Purple Purple 28 N- Purple Purple Purple Purple trimethoxysilylpropyl- N,N,N- trimethylammonium chloride 29 (N- Purple Purple Purple Purple trimethoxysilylpropyl) polyethyleneimine

Example 30

Several 70% rayon/30% polyester nonwoven supports were treated with one of two amine-containing silanes: (N-trimethoxysilylpropyl) polyethyleneimine and N-trimethoxysilylpropyl-N,N,N-trimethylammonium chloride; and a wetting agent, 3-glycidoxypropyltrimethoxysilane (GPS) as described for Example 28. Additionally, one sample of the nonwoven was left untreated. A micropipette was used to place several 5-microliter drops in a spotted pattern of the 4:1:5 indicator solution prepared as described for Example 29 onto each of the two aminosilane treated samples and an untreated sample. These spots were allowed to air dry at room temperature for at least 30 minutes. Six (two per treated and untreated) dried samples were used to wipe up a 10-microliter drop of alkaline phosphatase (Calbiochem) (1 unit/milliliter) on a 2.54 cm by 7.62 cm (1 inch by 3 inches) glass slide. Another six (two per treated and untreated) dried samples were dipped into ultrapure water until thoroughly wet and used to wipe up a 20-microliter drop of alkaline phosphatase (3.5 units/milliliter) on a 2.54 cm by 7.62 cm (1 inch by 3 inches) glass slide. The time needed for the first appearance of the characteristic purple-black color was recorded. Aminosilane-treated nonwovens exhibited a color change when used either dry or wet, and the shape of the original indicating drop was maintained. The control samples showed smearing of the indicator chemistry after the reaction with the enzyme. Results are shown in Table 22. TABLE 22 Time to develop color (seconds) Dry wipe Wet wipe with with alkaline alkaline Run Treated with phosphatase phosphatase Number Aminosilane and GPS (1 unit/mL) (3.5 units/mL) 1 None (Untreated) 540 600 2 None (Untreated) 480 600 3 (N-trimethoxysilylpropyl) 35 NA¹ polyethyleneimine 4 (N-trimethoxysilylpropyl) 30 50 polyethyleneimine 5 N-trimethoxysilylpropyl-N,N,N- 35 60 trimethylammonium chloride 6 N-trimethoxysilylpropyl-N,N,N- 25 60 trimethylammonium chloride ¹Response time was not recorded. 

1. A biological soil detector, comprising: A solid support member; A specific indicator immobilized on the solid support member; and A retaining member holding the solid support thereon, the retaining member and solid support configured to facilitate contact between the solid support a surface.
 2. The biological soil detector of claim 1 wherein the solid support comprises a first material selected from the group consisting of at least one polymer; inorganic material; and mixed organic and inorganic material.
 3. The biological soil detector of claim 2 wherein the polymer is selected from polymers containing functional groups, the functional groups selected from the group consisting of carboxyl and salts thereof, aldehydes, sulfonic acid and salts thereof, phosphonic acid and salts thereof, alcohol, primary amine, secondary amine, tertiary amine, amide, imide, quaternized ammonium, sulfonium, phosphonium, pyridine, cyclic amido, oxyalkylene, imidazoles and combinations of two or more of the foregoing.
 4. The biological soil detector of claim 3 wherein the polymers containing functional groups comprise polymers and copolymers selected from the group consisting of carboxyl containing polymers; polyalkoxylates; poly(meth)acrylates; polyvinyl alcohol; polyethylene-vinyl alcohol copolymer; polyurethane; polyurea; polyester; polyamide; polyimide; polyether; cellulose; rayon; polyphosphate; polypeptide; polyacrylonitrile; polyacrylamide; polycarbonate; polyethersulfone; and combinations of two or more of the foregoing.
 5. The biological soil detector of claim 2 wherein the inorganic material is selected from the group consisting of metal oxide, hydrate, metal-hydroxyl and combinations of two or more of the foregoing.
 6. The biological soil detector of claim 2 wherein the mixed organic and inorganic material is selected from the group consisting of polymeric composites, ceramers, and combinations thereof.
 7. The biological soil detector of claim 1 wherein the solid support member comprises a first material selected from the group consisting of at least one polymer, inorganic material, and mixed organic and inorganic material; and a second material attached to the first material.
 8. The biological soil detector of claim 7 wherein the first material is selected from polypropylene, polyethylene, polyvinylidene fluoride, tetrafluoroethylene hexafluoropropylene vinylidene fluoride, polyurethane, polyurea, polyester, polyvinyl acetate, polyamide, polyimide, poly(meth)acrylate, polyethersulfone, glass, silica, cellulosics, rayon, polycarbonate, polyvinyl alcohol, polystyrene, and combinations of the foregoing.
 9. The biological soil detector of claim 8 wherein the second material is hydrophilic and is selected from the group consisting of monomer, polymer, reactive metal alkoxide and combinations of two or more of the foregoing.
 10. The biological soil detector of claim 9 wherein the second material comprises one or more functional groups selected from carboxyl and salts thereof, aldehyde, sulfonic acid and salts thereof, phosphonic acid and salts thereof, alcohol, primary amine, secondary amine, tertiary amine, amide, imide, quaternized ammonium, sulfonium, phosphonium, pyridine, cyclic amido, oxyalkylene, co-saccharinamidoundecylsiloxane, glycidyl, succinimido, imidazoles and combinations of two or more of the foregoing.
 11. The biological soil detector of claim 2 wherein the solid support member comprises a material selected from the group consisting of films, nonwoven material, woven material, knitted material, reticulated foam, open-celled foam, porous ceramic inorganic frit, fiber, particle-coated supports, sintered particles, sintered fiber, sponge, and polymer membrane.
 12. The biological soil detector of claim 11 wherein the polymer membrane comprises a thermally induced phase separation membrane comprising a material selected from the group consisting of high density polyethylene, polypropylene, polyvinylidenefluoride, polyethylene-vinyl copolymer and combinations of two or more of the foregoing.
 13. The biological soil detector of claim 2 wherein the solid support member further comprises a hydrophilic coating.
 14. The biological soil detector of claim 1 wherein the specific indicator is selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate; 4-methylumbelliferyl-β-D-glucopyranoside; 4-methylumbelliferyl-β-D-galactopyranoside; 4-methylumbelliferyl-phosphate, esculin, orthophthaldialdehyde (OPA), polydiacetylenes; Bradford assay; Lowry, Biuret assay; bicinchoninic acid (BCA); and combinations of two or more of the foregoing
 15. The biological soil detector of claim 1 wherein the specific indicator comprises NBT in combination with on or more indolyl functional indicators selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-p-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate.
 16. The biological soil indicator of claim 15, wherein the specific indicator further comprises monovalent or divalent metal ions selected from sodium, potassium, zinc, manganese, magnesium, calcium and combinations of one or more of the foregoing.
 17. The biological soil indicator of claim 1 wherein the specific indicator is selected to detect a component of biological soil selected from the group consisting of protein, endotoxin, enzyme, nucleotide and combinations of two or more of the foregoing.
 18. The biological soil indicator of claim 17 wherein the nucleotide is adenosine triphosphate.
 19. The biological soil indicator of claim 17 wherein the enzyme comprises galactosidases, phosphatases, glucosidases, and lactosidases and combinations thereof.
 20. The biological soil indicator of claim 1 wherein specific indicator is selected to detect sulfatases or fatty acid esterases.
 21. The biological soil detector of claim 1 wherein the retaining member is dimensioned to fit within a channel, the retaining member comprising a first end and a second end and an elongate body portion extending between the first end and the second end.
 22. The biological soil detector of claim 1 wherein the solid support member is releasably affixed to the retaining member.
 23. A method for detecting biological soil associated with a surface, the method comprising: Contacting the biological soil detector of claim 1 with a surface wherein the contacting initiates the modification of the specific indicator in the presence of bio soil; Withdrawing the biological soil detector from the surface; Inspecting the solid support member of the detector for a detectable response to thereby determine whether the specific indicator immobilized on the solid support has interacted with biological soil.
 24. The method of claim 23 wherein the specific indicator is selected to detect a component of biological soil selected from the group consisting of protein, endotoxin, enzyme, nucleotide and combinations of two or more of the foregoing.
 25. The method of claim 24 wherein the nucleotide is adenosine triphosphate.
 26. The method of claim 24 wherein the enzyme comprises galactosidase, phosphatase, glucosidase, and lactosidase.
 27. The method of claim 23 wherein the specific indicator is selected to detect sulfatases or fatty acid esterases.
 28. A method according to claim 23 wherein the surface is a channel of a medical device.
 29. A method according to claim 28 wherein the medical device is an endoscope.
 30. A method according to claim 23 wherein the specific indicator is selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate; 4-methylumbelliferyl-β-D-glucopyranoside; 4-methylumbelliferyl-β-D-galactopyranoside; 4-methylumbelliferyl-phosphate, esculin, orthophthaldialdehyde (OPA), polydiacetylenes; Bradford assay; Lowry, Biuret assay; bicinchoninic acid (BCA); and combinations of two or more of the foregoing
 31. The method of claim 23 wherein the specific indicator comprises NBT in combination with on or more indolyl functional indicators selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate.
 32. The method of claim 31 wherein the specific indicator further comprises monovalent or divalent metal ions selected from sodium, potassium, zinc, manganese, magnesium, calcium and combinations of one or more of the foregoing.
 33. A method according to claim 23 wherein inspecting the solid support member for a detectable response comprises visually examining the solid support for a change in color.
 34. A method according to claim 23 wherein inspecting the solid support member for a detectable response comprises examining the solid support member for a change in fluorescence.
 35. A method according to claim 34 wherein a detectable response is present within 10 minutes following the contacting of the biological soil detector with a surface.
 36. A method according to claim 34 wherein a detectable response is present within 5 minutes following the contacting of the biological soil detector with a surface.
 37. A method according to claim 34 wherein a detectable response is present in less than one minute following the contacting of the biological soil detector with a surface.
 38. A biological soil detector, comprising: A solid support member treated with at least one amine or quaternary functional coating; and A specific indicator immobilized on the coating.
 39. The biological soil detector of claim 38 wherein the solid support member is a nonwoven material.
 40. The biological soil detector of claim 39 wherein the nonwoven material comprises a cellulosic material.
 41. The biological soil detector of claim 39 wherein the nonwoven material comprises 70% rayon and 30% polyester.
 42. The biological soil detector of claim 38 wherein the solid support member comprises a material selected from the group consisting of films, nonwoven material, woven material, knitted material, reticulated foam, open-celled foam, fiber, particle-coated supports, sponge, and polymer membrane.
 43. The biological soil detector of claim 42 wherein the polymer membrane comprises a thermally induced phase separation membrane comprising a material selected from the group consisting of high density polyethylene, polypropylene, polyvinylidenefluoride, polyethylene-vinyl copolymer and combinations of two or more of the foregoing.
 44. The biological soil detector of claim 38 wherein the solid support member further comprises a hydrophilic coating.
 45. The biological soil detector of claim 38 wherein the specific indicator is selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate; 4-methylumbelliferyl-β-D-glucopyranoside; 4-methylumbelliferyl-β-D-galactopyranoside; and combinations of two or more of the foregoing
 46. The biological soil detector of claim 38 wherein the specific indicator comprises NBT in combination with one or more indolyl functional indicators selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate.
 47. The biological soil indicator of claim 46, wherein the specific indicator further comprises monovalent or divalent metal ions selected from sodium, potassium, zinc, manganese, magnesium, calcium and combinations of one or more of the foregoing.
 48. The biological soil indicator of claim 38 wherein the specific indicator is selected to detect a component of biological soil selected from the group consisting of protein, endotoxin, enzyme, nucleotide and combinations of two or more of the foregoing.
 49. The biological soil indicator of claim 48 wherein the nucleotide is adenosine triphosphate.
 50. The biological soil indicator of claim 48 wherein the enzyme comprises galactosidases, phosphatases, glucosidases, and lactosidases and combinations thereof.
 51. The biological soil indicator of claim 38 wherein specific indicator is selected to detect sulfatases or fatty acid esterases.
 52. The biological soil detector of claim 38 wherein the solid support member further comprises an amine-containing silane.
 53. The biological soil detector of claim 52 wherein the amine-containing silane is selected from the group consisting of (N-trimethoxysilylpropyl) polyethyleneimine, 3-aminopropyltriethoxysilane, N-trimethoxysilylpropyl-N,N,N-trimethylammonium chloride and combinations of two or more of the foregoing.
 54. A method for detecting biological soil associated with a surface, the method comprising: Contacting the biological soil detector of claim 38 with a surface wherein the contacting initiates the modification of the specific indicator in the presence of bio soil; Withdrawing the biological soil detector from the surface; Inspecting the solid support member of the detector for a detectable response to thereby determine whether the specific indicator immobilized on the solid support has interacted with biological soil.
 55. The method of claim 54 wherein the specific indicator is selected to detect a component of biological soil selected from the group consisting of protein, endotoxin, enzyme, nucleotide and combinations of two or more of the foregoing.
 56. The method of claim 55 wherein the nucleotide is adenosine triphosphate.
 57. The method of claim 55 wherein the enzyme comprises galactosidase, phosphatase, glucosidase, and lactosidase.
 58. The method of claim 54 wherein the specific indicator is selected to detect sulfatases or fatty acid esterases.
 59. A method according to claim 54 wherein the specific indicator is selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate; 4-methylumbelliferyl-β-D-glucopyranoside; 4-methylumbelliferyl-β-D-galactopyranoside; and combinations of two or more of the foregoing
 60. The method of claim 54 wherein the specific indicator comprises NBT in combination with one or more indolyl functional indicators selected from the group consisting of 5-bromo-4-chloro-3-indolyl β-D-glucopyranoside; 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside; 5-bromo-4-chloro-3-indolyl phosphate; 5-bromo-6-chloro-3-indolyl-β-D-glucopyranoside; 5-bromo-6-chloro-3-indolyl-β-D-galactopyranoside; 5-bromo-6-chloro-3-indolyl phosphate.
 61. A method according to claim 54 wherein inspecting the solid support member for a detectable response comprises visually examining the solid support for a change in color.
 62. A method according to claim 61 wherein a detectable response is present within 10 minutes following the contacting of the biological soil detector with a surface.
 63. A method according to claim 61 wherein a detectable response is present within 5 minutes following the contacting of the biological soil detector with a surface.
 64. A method according to claim 61 wherein a detectable response is present in less than one minute following the contacting of the biological soil detector with a surface. 